Lung ultrasound in children and adolescents with long-term effects of COVID-19: Initial results

IntroductionChronic health effects following acute COVID-19 are increasingly observed as the pandemic continues and are grouped under long COVID. Although the acute course of the COVID disease is often milder, long COVID also affects children and adolescents. As the symptoms present in Long-COVID of...

Full description

Bibliographic Details
Main Authors: Stephanie Gräger, Rosalie Pfirschke, Michael Lorenz, Daniel Vilser, Martin Krämer, Hans-Joachim Mentzel, Katja Glutig
Format: Article
Language:English
Published: Frontiers Media S.A. 2023-03-01
Series:Frontiers in Pediatrics
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fped.2023.1112881/full
_version_ 1797860986889175040
author Stephanie Gräger
Rosalie Pfirschke
Michael Lorenz
Daniel Vilser
Martin Krämer
Hans-Joachim Mentzel
Katja Glutig
author_facet Stephanie Gräger
Rosalie Pfirschke
Michael Lorenz
Daniel Vilser
Martin Krämer
Hans-Joachim Mentzel
Katja Glutig
author_sort Stephanie Gräger
collection DOAJ
description IntroductionChronic health effects following acute COVID-19 are increasingly observed as the pandemic continues and are grouped under long COVID. Although the acute course of the COVID disease is often milder, long COVID also affects children and adolescents. As the symptoms present in Long-COVID often seem to be non-specific and not limited to organ systems, clarification of the causes and the creation of a meaningful, efficient and targeted diagnostic algorithm is urgently needed.MethodsTherefore, in this prospective observational study, we examined 30 children with long COVID using lung ultrasound and compared the results with those of 15 lung-healthy children.ResultsIn our study, no significant difference was found between the two groups in the morphological criteria of lung ultrasound of the pleura or pleural lung structures. There was no significant correlation between the lung ultrasound findings and clinical Data.DiscussionOur findings are congruent with the current, albeit sparse, data. It is possible that the causes of persistent thoracic symptoms in long COVID might be more likely to be present in functional examinations, but not morphologically imageable. Nonspecific symptoms do not appear to be due to changes in the lung parenchyma. In conclusion, lung ultrasound alone and without baseline in acute disease is not suitable as a standard in the follow-up of long COVID patients. Further investigations on the morphological and functional changes in patient with long COVID is needed.
first_indexed 2024-04-09T21:55:52Z
format Article
id doaj.art-f318482e91034f33abe8b4b1241e7aed
institution Directory Open Access Journal
issn 2296-2360
language English
last_indexed 2024-04-09T21:55:52Z
publishDate 2023-03-01
publisher Frontiers Media S.A.
record_format Article
series Frontiers in Pediatrics
spelling doaj.art-f318482e91034f33abe8b4b1241e7aed2023-03-24T06:08:55ZengFrontiers Media S.A.Frontiers in Pediatrics2296-23602023-03-011110.3389/fped.2023.11128811112881Lung ultrasound in children and adolescents with long-term effects of COVID-19: Initial resultsStephanie Gräger0Rosalie Pfirschke1Michael Lorenz2Daniel Vilser3Martin Krämer4Hans-Joachim Mentzel5Katja Glutig6Department of Diagnostic and Interventional Radiology, University Hospital Jena, Jena, GermanyCystic Fibrosis Center for Children and Adults, University Hospital Jena, Jena, GermanyCystic Fibrosis Center for Children and Adults, University Hospital Jena, Jena, GermanyCardiology Section, Department of Child and Adolescent Medicine, University Hospital Jena, Jena, GermanyDepartment of Diagnostic and Interventional Radiology, University Hospital Jena, Jena, GermanySection Pediatric Radiology, Department of Diagnostic and Interventional Radiology, University Hospital Jena, Jena, GermanySection Pediatric Radiology, Department of Diagnostic and Interventional Radiology, University Hospital Jena, Jena, GermanyIntroductionChronic health effects following acute COVID-19 are increasingly observed as the pandemic continues and are grouped under long COVID. Although the acute course of the COVID disease is often milder, long COVID also affects children and adolescents. As the symptoms present in Long-COVID often seem to be non-specific and not limited to organ systems, clarification of the causes and the creation of a meaningful, efficient and targeted diagnostic algorithm is urgently needed.MethodsTherefore, in this prospective observational study, we examined 30 children with long COVID using lung ultrasound and compared the results with those of 15 lung-healthy children.ResultsIn our study, no significant difference was found between the two groups in the morphological criteria of lung ultrasound of the pleura or pleural lung structures. There was no significant correlation between the lung ultrasound findings and clinical Data.DiscussionOur findings are congruent with the current, albeit sparse, data. It is possible that the causes of persistent thoracic symptoms in long COVID might be more likely to be present in functional examinations, but not morphologically imageable. Nonspecific symptoms do not appear to be due to changes in the lung parenchyma. In conclusion, lung ultrasound alone and without baseline in acute disease is not suitable as a standard in the follow-up of long COVID patients. Further investigations on the morphological and functional changes in patient with long COVID is needed.https://www.frontiersin.org/articles/10.3389/fped.2023.1112881/fullfollow-upCOVID Syndromepulmonary functiondiagnostic Lung sonographycomplicationscreening
spellingShingle Stephanie Gräger
Rosalie Pfirschke
Michael Lorenz
Daniel Vilser
Martin Krämer
Hans-Joachim Mentzel
Katja Glutig
Lung ultrasound in children and adolescents with long-term effects of COVID-19: Initial results
Frontiers in Pediatrics
follow-up
COVID Syndrome
pulmonary function
diagnostic Lung sonography
complication
screening
title Lung ultrasound in children and adolescents with long-term effects of COVID-19: Initial results
title_full Lung ultrasound in children and adolescents with long-term effects of COVID-19: Initial results
title_fullStr Lung ultrasound in children and adolescents with long-term effects of COVID-19: Initial results
title_full_unstemmed Lung ultrasound in children and adolescents with long-term effects of COVID-19: Initial results
title_short Lung ultrasound in children and adolescents with long-term effects of COVID-19: Initial results
title_sort lung ultrasound in children and adolescents with long term effects of covid 19 initial results
topic follow-up
COVID Syndrome
pulmonary function
diagnostic Lung sonography
complication
screening
url https://www.frontiersin.org/articles/10.3389/fped.2023.1112881/full
work_keys_str_mv AT stephaniegrager lungultrasoundinchildrenandadolescentswithlongtermeffectsofcovid19initialresults
AT rosaliepfirschke lungultrasoundinchildrenandadolescentswithlongtermeffectsofcovid19initialresults
AT michaellorenz lungultrasoundinchildrenandadolescentswithlongtermeffectsofcovid19initialresults
AT danielvilser lungultrasoundinchildrenandadolescentswithlongtermeffectsofcovid19initialresults
AT martinkramer lungultrasoundinchildrenandadolescentswithlongtermeffectsofcovid19initialresults
AT hansjoachimmentzel lungultrasoundinchildrenandadolescentswithlongtermeffectsofcovid19initialresults
AT katjaglutig lungultrasoundinchildrenandadolescentswithlongtermeffectsofcovid19initialresults