{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,4]],"date-time":"2026-03-04T18:27:43Z","timestamp":1772648863462,"version":"3.50.1"},"reference-count":26,"publisher":"MDPI AG","issue":"7","license":[{"start":{"date-parts":[[2020,7,14]],"date-time":"2020-07-14T00:00:00Z","timestamp":1594684800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["JCM"],"abstract":"<jats:p>Understanding the clinical presentation of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection and prognosis in children is a major issue. Children often present mild symptoms, and some severe forms require paediatric intensive care, with in some cases a fatal prognosis. Our aim was to identify the epidemiological characteristics, clinical presentation, and prognosis of children with coronavirus disease 2019 (Covid-19) hospitalized in Paris suburb hospitals. In this prospective, observational, multicentre study, we included children hospitalized in paediatric departments of Paris suburb hospitals from 23 March 2020 to 10 May 2020, during the national lockdown in France with confirmed SARS-CoV-2 infection (positive RNA test on a nasopharyngeal swab) or highly suspected infection (clinical, biological, and\/or radiological data features suggestive for SARS-CoV-2 infection). A total of 192 children were included for confirmed (n = 157) or highly suspected (n = 35) SARS-CoV-2 infection. The median age was one year old (interquartile range 0.125\u201311) with a sex ratio 1.3:1. Fever was recorded in 147 (76.6%) children and considered poorly tolerated in 29 (15.1%). The symptoms ranged from rhinorrhoea (34.4%) and gastrointestinal (35.5%) to respiratory distress (25%). Only 10 (5.2%) children had anosmia and five (2.6%) had chest pain. An underlying condition was identified in almost 30% of the children in our study. Overall, 24 (12.5%) children were admitted to paediatric intensive care units, 12 required mechanical ventilation, and three died. For children in Paris suburbs, most cases of Covid-19 showed mild or moderate clinical expression. However, one-eighth of children were admitted to paediatric intensive care units and three died.<\/jats:p>","DOI":"10.3390\/jcm9072227","type":"journal-article","created":{"date-parts":[[2020,7,14]],"date-time":"2020-07-14T11:03:23Z","timestamp":1594724603000},"page":"2227","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":30,"title":["Epidemiology and Clinical Presentation of Children Hospitalized with SARS-CoV-2 Infection in Suburbs of Paris"],"prefix":"10.3390","volume":"9","author":[{"given":"Louise","family":"Gaborieau","sequence":"first","affiliation":[{"name":"Service de P\u00e9diatrie G\u00e9n\u00e9rale, Centre Hospitalier Intercommunal de Cr\u00e9teil, 94000 Cr\u00e9teil, France"},{"name":"UPMC, Sorbonne universit\u00e9, 75006 Paris, France"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Celine","family":"Delestrain","sequence":"additional","affiliation":[{"name":"Service de P\u00e9diatrie G\u00e9n\u00e9rale, Centre Hospitalier Intercommunal de Cr\u00e9teil, 94000 Cr\u00e9teil, France"},{"name":"INSERM, U955, Team GEIC2O, 94000 Cr\u00e9teil, France"},{"name":"INSERM, IMRB, Univ Paris Est Creteil, F-94010 Creteil, France"},{"name":"Centre des Maladies Respiratoires Rares (RESPIRARE<sup>\u00ae<\/sup>), 94000 Cr\u00e9teil, France"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Philippe","family":"Bensaid","sequence":"additional","affiliation":[{"name":"Service de P\u00e9diatrie G\u00e9n\u00e9rale, Centre Hospitalier Argenteuil, 95107 Argenteuil, France"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Audrey","family":"Vizeneux","sequence":"additional","affiliation":[{"name":"Service de P\u00e9diatrie G\u00e9n\u00e9rale, Centre Hospitalier Argenteuil, 95107 Argenteuil, France"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Philippe","family":"Blanc","sequence":"additional","affiliation":[{"name":"Service de p\u00e9diatrie G\u00e9n\u00e9rale, Centre Hospitalier Intercommunal Poissy Saint-Germain en Laye, 78300 Poissy, France"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Aur\u00e9lie","family":"Garraffo","sequence":"additional","affiliation":[{"name":"Service de p\u00e9diatrie G\u00e9n\u00e9rale, Centre Hospitalier Intercommunal Villeneuve Saint Georges, 94190 Villeneuve Saint George, France"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Emilie","family":"Georget","sequence":"additional","affiliation":[{"name":"Service de p\u00e9diatrie G\u00e9n\u00e9rale, Centre Hospitalier Intercommunal Villeneuve Saint Georges, 94190 Villeneuve Saint George, France"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Arnaud","family":"Chalvon","sequence":"additional","affiliation":[{"name":"Site de Marne-la-Vall\u00e9e, Service de p\u00e9diatrie G\u00e9n\u00e9rale, Grand H\u00f4pital de L\u2019Est Francilien, 77600 Jossigny, France"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nathalie","family":"Garrec","sequence":"additional","affiliation":[{"name":"Site de Marne-la-Vall\u00e9e, Service de p\u00e9diatrie G\u00e9n\u00e9rale, Grand H\u00f4pital de L\u2019Est Francilien, 77600 Jossigny, France"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yacine","family":"Laoudi","sequence":"additional","affiliation":[{"name":"Service de p\u00e9diatrie G\u00e9n\u00e9rale, Centre Hospitalier Intercommunal Robert Ballanger, 93600 Aulnay-sous-Bois, France"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3043-2838","authenticated-orcid":false,"given":"Emmanuelle","family":"Varon","sequence":"additional","affiliation":[{"name":"Laboratoire de Microbiologie, Centre Hospitalier Intercommunal de Cr\u00e9teil, 94000 Cr\u00e9teil, France"},{"name":"Centre National de R\u00e9f\u00e9rence des Pneumocoques, Centre Hospitalier Intercommunal Cr\u00e9teil, 94000 Cr\u00e9teil, France"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"S\u00e9bastien","family":"Rouget","sequence":"additional","affiliation":[{"name":"Service de p\u00e9diatrie G\u00e9n\u00e9rale, Centre Hospitalier Sud Francilien, 91100 Corbeil-Essonnes, France"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Alexandre","family":"Pupin","sequence":"additional","affiliation":[{"name":"Service de p\u00e9diatrie G\u00e9n\u00e9rale, Centre Hospitalier Sud Francilien, 91100 Corbeil-Essonnes, France"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Khaled","family":"Abdel Aal","sequence":"additional","affiliation":[{"name":"Service de p\u00e9diatrie G\u00e9n\u00e9rale, Centre Hospitalier Gonesse, 95500 Gonesse, France"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"David","family":"Toulorge","sequence":"additional","affiliation":[{"name":"Service de p\u00e9diatrie G\u00e9n\u00e9rale, Centre Hospitalier Gonesse, 95500 Gonesse, France"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sarah","family":"Ducrocq","sequence":"additional","affiliation":[{"name":"Site Longjumeau, Service de p\u00e9diatrie G\u00e9n\u00e9rale, Groupe Hospitalier Nord Essonne, 91160 Longjumeau, France"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Catherine","family":"Barrey","sequence":"additional","affiliation":[{"name":"Service de p\u00e9diatrie G\u00e9n\u00e9rale, H\u00f4pital Saint Camille, 94360 Bry-sur-Marne, France"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Letitia","family":"Pantalone","sequence":"additional","affiliation":[{"name":"Service de p\u00e9diatrie G\u00e9n\u00e9rale, Centre Hospitalier Ren\u00e9 Dubos, 95300 Pontoise, France"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Blandine","family":"Robert","sequence":"additional","affiliation":[{"name":"Service de p\u00e9diatrie G\u00e9n\u00e9rale, Centre Hospitalier Ren\u00e9 Dubos, 95300 Pontoise, France"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3359-260X","authenticated-orcid":false,"given":"Lydie","family":"Joly-Sanchez","sequence":"additional","affiliation":[{"name":"Service de p\u00e9diatrie G\u00e9n\u00e9rale, Centre Hospitalier de Melun, 77000 Melun, France"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Caroline","family":"Thach","sequence":"additional","affiliation":[{"name":"Service de p\u00e9diatrie G\u00e9n\u00e9rale, Centre Hospitalier de Melun, 77000 Melun, France"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Caroline","family":"Masserot-Lureau","sequence":"additional","affiliation":[{"name":"Site Meaux, Service de p\u00e9diatrie G\u00e9n\u00e9rale, Grand H\u00f4pital de L\u2019Est Francilien, 77100 Meaux, 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Chesnay, France"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mohamed","family":"Khaled","sequence":"additional","affiliation":[{"name":"Service de p\u00e9diatrie G\u00e9n\u00e9rale, Groupe Hospitalier Intercommunal Le Raincy Montfermeil, 93370 Montfermeil, France"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Alexis","family":"Mandelcwajg","sequence":"additional","affiliation":[{"name":"Service de p\u00e9diatrie G\u00e9n\u00e9rale, Centre Hospitalier de Saint-Denis, 93200 Saint-Denis, France"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nadia","family":"Demayer","sequence":"additional","affiliation":[{"name":"Service de p\u00e9diatrie G\u00e9n\u00e9rale, Centre Hospitalier Arpajon, 91294 Arpajon, France"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"St\u00e9phanie","family":"Muller","sequence":"additional","affiliation":[{"name":"Service de p\u00e9diatrie G\u00e9n\u00e9rale, Centre Hospitalier de Rambouillet, 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F.A., Al Zoubi, M.S., Kasasbeh, G.A., Salameh, D.M., and Al-Nasser, A.D. (2020). SARS-CoV-2 and Coronavirus Disease 2019: What we know so far. Pathogens, 9.","DOI":"10.3390\/pathogens9030231"},{"key":"ref_2","doi-asserted-by":"crossref","first-page":"533","DOI":"10.1016\/S1473-3099(20)30120-1","article-title":"An interactive web-based dashboard to track COVID-19 in real time","volume":"20","author":"Dong","year":"2020","journal-title":"Lancet Infect. Dis."},{"key":"ref_3","first-page":"2000094","article-title":"First cases of Coronavirus Disease 2019 (COVID-19) in France: Surveillance, investigations and control measures, January 2020","volume":"25","author":"Stoecklin","year":"2020","journal-title":"Eurosurveill"},{"key":"ref_4","doi-asserted-by":"crossref","unstructured":"Wu, Z., and McGoogan, J.M. (2020). Characteristics of and important lessons from the coronavirus disease 2019 (COVID-19) outbreak in China: Summary of a report of 72 314 cases from the Chinese center for disease control and prevention. JAMA.","DOI":"10.1001\/jama.2020.2648"},{"key":"ref_5","doi-asserted-by":"crossref","unstructured":"Parri, N., Lenge, M., and Buonsenso, D. (2020). Coronavirus Infection in pediatric emergency departments (CONFIDENCE) research group. Children with Covid-19 in pediatric emergency departments in Italy. N. Engl. J. Med.","DOI":"10.1056\/NEJMc2007617"},{"key":"ref_6","doi-asserted-by":"crossref","first-page":"e20200702","DOI":"10.1542\/peds.2020-0702","article-title":"Epidemiology of COVID-19 among children in China","volume":"145","author":"Dong","year":"2020","journal-title":"Pediatrics"},{"key":"ref_7","doi-asserted-by":"crossref","unstructured":"CDC COVID-19 Response Team (2020). Coronavirus disease 2019 in Children\u2014United States, February 12\u2013April 2, 2020. Morb. Mortal. Wkly. Rep., 69, 422\u2013426.","DOI":"10.15585\/mmwr.mm6914e4"},{"key":"ref_8","doi-asserted-by":"crossref","first-page":"e535","DOI":"10.1542\/peds.113.6.e535","article-title":"Severe acute respiratory syndrome among children","volume":"113","author":"Leung","year":"2004","journal-title":"Pediatrics"},{"key":"ref_9","doi-asserted-by":"crossref","first-page":"1708","DOI":"10.1056\/NEJMoa2002032","article-title":"Clinical characteristics of Coronavirus Disease 2019 in China","volume":"382","author":"Guan","year":"2020","journal-title":"N. Eng. J. Med."},{"key":"ref_10","first-page":"269","article-title":"Clinical analysis of 31 cases of 2019 novel coronavirus infection in children from six provinces (Autonomous Region) of northern China","volume":"58","author":"Wang","year":"2020","journal-title":"Chin. J. Pediatrics"},{"key":"ref_11","first-page":"1","article-title":"Diagnosis and treatment recommendations for pediatric respiratory infection caused by the 2019 Novel Coronavirus","volume":"5","author":"Chen","year":"2020","journal-title":"World J. Pediatrics"},{"key":"ref_12","unstructured":"Sant\u00e9 Publique France (2020, May 11). COVID 19 Point \u00c9pid\u00e9miologique. Homepage on the Internet. Available online: https:\/\/www.santepubliquefrance.fr\/recherche\/#search=COVID%2019%20%20%20point%20epidemiologique&publications=donn%C3%A9es&regions=National&sort=date."},{"key":"ref_13","doi-asserted-by":"crossref","unstructured":"Tagarro, A., Epalza, C., Santos, M., Sanz-Santaeufemia, F.J., Otheo, E., Moraleda, C., and Calvo, C. (2020). Screening and severity of Coronavirus Disease 2019 (COVID-2019) in Children in Madrid, Spain. JAMA Pediatrics.","DOI":"10.1001\/jamapediatrics.2020.1346"},{"key":"ref_14","doi-asserted-by":"crossref","unstructured":"Castagnoli, R., Votto, M., Licari, A., Brambilla, I., Bruno, R., Perlini, S., Rovida, F., Baldanti, F., and Marseglia, G.L. (2020). Severe acute respiratory syndrome Coronavirus 2 (SARS-CoV-2) infection in children and adolescents: A systematic review. JAMA Pediatrics.","DOI":"10.1001\/jamapediatrics.2020.1467"},{"key":"ref_15","doi-asserted-by":"crossref","first-page":"1607","DOI":"10.1016\/S0140-6736(20)31094-1","article-title":"Hyperinflammatory shock in children during COVID-19 pandemic","volume":"395","author":"Riphagen","year":"2020","journal-title":"Lancet"},{"key":"ref_16","unstructured":"(2020, May 14). Evaluation of COVID-19 Tests by the French National Health Authorities. Available online: https:\/\/covid-19.sante.gouv.fr\/tests."},{"key":"ref_17","doi-asserted-by":"crossref","unstructured":"Fafi-Kremer, S., Bruel, T., Madec, Y., Grand, R., Tondeur, L., Grzelak, L., Staropoli, I., Anna, F., Souque, P., and Mutter, C. (2020, May 22). Serologic Responses to SARS-CoV-2 Infection among Hospital Staff with Mild Disease in Eastern France. Available online: https:\/\/www.medrxiv.org\/content\/10.1101\/2020.05.19.20101832v2.","DOI":"10.1101\/2020.05.19.20101832"},{"key":"ref_18","doi-asserted-by":"crossref","unstructured":"Mehta, N.S., Mytton, O.T., Mullins, E.W.S., Fowler, T.A., Falconer, C.L., Murphy, O.B., Langenberg, C., Jayatunga, W.J.P., Eddy, D.H., and Nguyen-Van-Tam, J.S. (2020). SARS-CoV-2 (COVID-19): What do we know about children? A systematic review. Clin. Infect. Dis.","DOI":"10.2139\/ssrn.3558015"},{"key":"ref_19","first-page":"1","article-title":"SARS-COV-2 infection in children and newborns: A systematic review","volume":"18","author":"Liguoro","year":"2020","journal-title":"Eur. J. Pediatrics"},{"key":"ref_20","doi-asserted-by":"crossref","first-page":"386","DOI":"10.1080\/22221751.2020.1729071","article-title":"Molecular and serological investigation of 2019-nCoV infected patients: Implication of multiple shedding routes","volume":"9","author":"Zhang","year":"2020","journal-title":"Emerg. Microbes. Infect."},{"key":"ref_21","doi-asserted-by":"crossref","first-page":"e61","DOI":"10.1016\/j.jinf.2020.04.026","article-title":"How is immunosuppressive status affecting children and adults in SARS-CoV-2 infection? A systematic review","volume":"81","author":"Minotti","year":"2020","journal-title":"J. Infect."},{"key":"ref_22","doi-asserted-by":"crossref","first-page":"1169","DOI":"10.1002\/ppul.24718","article-title":"Clinical and CT features in pediatric patients with COVID-19 infection: Different points from adults","volume":"55","author":"Xia","year":"2020","journal-title":"Pediatrics Pulmonol."},{"key":"ref_23","doi-asserted-by":"crossref","first-page":"1370","DOI":"10.1056\/NEJMc2003717","article-title":"Detection of Covid-19 in children in early January 2020 in Wuhan, China","volume":"382","author":"Liu","year":"2020","journal-title":"N. Engl. J. Med."},{"key":"ref_24","unstructured":"World Health Organization (2020, February 28). Report of the WHO-China Joint Mission on Coronavirus Disease 2019 (COVID-19). Homepage on the Internet. Available online: https:\/\/www.who.int\/docs\/default-source\/coronaviruse\/who-china-joint-mission-on-covid-19-final-report.pdf."},{"key":"ref_25","doi-asserted-by":"crossref","unstructured":"Kim, H., Hong, H., and Yoon, S.H. (2020). Diagnostic performance of CT and reverse transcriptase-polymerase chain reaction for Coronavirus Disease 2019: A meta-analysis. Radiology.","DOI":"10.1148\/radiol.2020201343"},{"key":"ref_26","doi-asserted-by":"crossref","unstructured":"Long, Q.X., Liu, B.Z., Deng, H.J., Wu, G.C., Deng, K., Chen, Y.K., Liao, P., Qiu, J.F., Lin, Y., and Cai, X.F. (2020). Antibody responses to SARS-CoV-2 in patients with COVID-19. Nat. Med.","DOI":"10.1038\/s41591-020-0897-1"}],"container-title":["Journal of Clinical Medicine"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.mdpi.com\/2077-0383\/9\/7\/2227\/pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,11]],"date-time":"2025-10-11T09:51:11Z","timestamp":1760176271000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.mdpi.com\/2077-0383\/9\/7\/2227"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,7,14]]},"references-count":26,"journal-issue":{"issue":"7","published-online":{"date-parts":[[2020,7]]}},"alternative-id":["jcm9072227"],"URL":"https:\/\/doi.org\/10.3390\/jcm9072227","relation":{},"ISSN":["2077-0383"],"issn-type":[{"value":"2077-0383","type":"electronic"}],"subject":[],"published":{"date-parts":[[2020,7,14]]}}}