Post-Covid X-Ray Changes of The Lung in Children

Abstract

In this article, post-coronavirus lung complications in children are discussed on the basis of X-ray studies. This study was done at the Iashvili Central Children’s Hospital Tbilisi.COVID-19 can lead to many secondary conditions, lungs are the most commonly affected organ for patients with SARS-CoV-2 infection, persistent respiratory signs and symptoms following acute COVID-19 are not uncommon, although are notably less commonin pediatric patients compared with adults. The symptoms include cough and dyspnea.The time to improvement depends on the premorbid condition and the severity of theillness. Some of these symptoms can last for 3, 4 months or longer. We studied 175children, who had been infected with covid for 3 months or more. 80 (46%) childrenhad severe COVID-19 pneumonitis with acute respiratory failure. Patients who havehad a covid infection, and respiratory changes and had remaining cough, shortness ofbreath during exertion, shortness of breath - accounted for 28% - 49 patients. Patientswho, according to anamnestic data, had a temperature reaction during the period oftreatment at the clinic - 46 patients (26%) were found in this group. All patients underwent radiological examination. None of the patients underwent CT examination. Itwas found that in the case of post-covid syndrome, radiological changes do not alwaysindicate a severe course of the disease. In the case of clinical recovery, X-ray changesappear in the 4th week of the disease and in a longer period. X-ray examination shouldbe performed based on clinical symptoms. X-ray changes are manifested in the rootsand central fields, in the form of small-focal infiltrates of low transparency, unlike othertypes of viruses, the changes continue in the post-COVID period. The severe course ofthe disease does not always mean the manifestation of post-COVID syndrome and viceversa. In case of a mild course of the disease, it is possible to develop polyorganic damage of various degrees.