In the current pandemic, caused by infection with severe acute respiratory syndrome coronavirus 2, ultrasound has played a fundamental role in patients who develop the resulting disease, designated coronavirus disease 2019 (COVID-19). In this study we present ultrasound images of the lungs of neonates with a suspected or confirmed diagnosis of COVID-19, distinguishing between the changes related to COVID-19 and those unrelated to the disease. Ultrasound examinations were performed by a pediatric sonographer. A total of 27 neonates were evaluated. Among those who presented no respiratory symptoms, some tested negative for COVID-19 and others tested positive. All of those who were pulmonary symptomatic, negative for COVID-19 presented transient tachypnea of the newborn and respiratory distress syndrome. Lung ultrasound images obtained in COVID-19-negative neonates showed, in some cases, a normal pattern (with A lines, few B lines, a thin, linear pleural line, and no pleural effusion), whereas in others showed coalescent B lines and areas of opacity. In two of the COVID-19-positive neonates, lung ultrasound examination showed several coalescent B lines, pleural thickening, and areas of opacity. Lung ultrasound in the neonatal period appears to be applicable within the context of the current pandemic, allowing efficient evaluation of COVID-19-related changes in neonates, as well as of pathologies inherent to the neonatal period.
【저자키워드】 coronavirus, Coronavírus, Ultrasonography, infant, newborn, Lung/diagnostic imaging, Coronavirus infections/diagnostic imaging, Ultrassonografia, Pulmão/diagnóstico por imagem, Infecções por coronavírus/diagnóstico por imagem, Recém-nascido, 【초록키워드】 COVID-19, coronavirus disease, pathology, pandemic, pediatric, Infection, lung, Newborn, Neonate, Neonates, symptomatic, Patient, disease, change, distress, Neonatal, respiratory symptoms, tachypnea, acute respiratory syndrome, syndrome, positive, ultrasound examination, resulting, tested, performed, develop, caused, the disease, evaluated, linear, appear, changes in, inherent, diagnosis of COVID-19, 【제목키워드】 COVID-19 pandemic, lung, Neonate,