Ottobre 2021 - Volume XL - numero 8

Medico e Bambino


Pagine elettroniche

Funzione cardiopolmonare in bambini con pregressa infezione da Covid-19 lieve o asintomatica e ritorno all’attività sportiva

Lara Colussi1, Marco Sutera1, Francesco Rispoli1, Egidio Barbi2, Marco Bobbo2, Thomas Caiffa2, Biancamaria D’Agata Mottolese2, Massimo Maschio2, Laura De Nardi1, Sara Romano1, Michele Mazzolai1, Daniela Chicco2

1Scuola di Specializzazione in Pediatria, Università di Trieste
2IRCCS Materno-Infantile “Burlo Garofolo”, Trieste

Indirizzo per corrispondenza: laracolussi94@gmail.com

Cardiopulmonary function in children with mild or asymptomatic Covid-19 infection needing return to play certification

Key words: Adolescent, Covid-19, Return to play, Sport

Aim - To evaluate the cardiopulmonary function in children returning to play sports after mild or asymptomatic SARS-CoV-2 infection.
Methods - This is a consecutive case series conducted at the Institute for Maternal and Child Health, Trieste, Italy. Paediatric patients who accessed the Institute for cardiologic and pneumological evaluation before the return-to-play competitive sports were recruited. According to the Italian Sports Medical Federation recommendations, echocardiogram, electrocardiogram, treadmill ECG test and pulmonary function tests were performed.
Results - 240 patients (aged 8-17 years old) were recruited. Among these, 233 children were considered for the final analysis. Out of 233, 147 (63.1%) had a mild symptomatic form of SARS-CoV-2 infection, while 86 (36.9%) were asymptomatic. The main referred symptoms were fever (n = 68, 46.3%), headache (n = 42, 28.6%), anosmia (n = 40, 27.2%), rhinitis (n = 34, 23.1%), ageusia (n = 32, 21.8%), cough (n = 22, 15%), asthenia (n = 21, 14.3%), arthralgia-myalgia (n = 20, 13.6%), sore throat (n = 14, 9.5%) and gastrointestinal symptoms (n = 9, 6.1%). No child presented evidence of cardiopulmonary function impairment after an average time of 76.1 days (SD 39.2) from SARS-CoV-2 swab positivity and a median of 68 days (IQ1 49, IQ3 98). Conclusion - This study suggests that the diagnostic yield of cardiopulmonary tests before returning to play sports may be very low in the absence of specific symptoms.

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Colussi L, Sutera M, Rispoli F, et al.
Funzione cardiopolmonare in bambini con pregressa infezione da Covid-19 lieve o asintomatica e ritorno all’attività sportiva
Medico e Bambino 2021;40(8):529-532 DOI: https://doi.org/10.53126/MEBXXIV226

Pagine elettroniche

Una “crisi” celiaca

Alessandro Lenhardt, Patrizia. Salierno, Maria Teresa Calipa, Cristina Milocco, Susanna Saletta, Domenica Giglia, Patrizia Petaros, Paola Pascolo, Dana Dragovic

UO di Pediatria, Monfalcone (Gorizia)

The authors present the case of a 3-year-old child with severe diarrhoea, hypoalbuminaemia, hypogammaglobulinaemia and anaemia eventually diagnosed as coeliac. The clinical features of the so-called coeliac crisis are discussed.

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