Pediatric long-COVID: An overlooked phenomenon?

C.L.H. Brackel*, C.R. Lap, E.P. Buddingh, M.A. Houten, L.J.T.M. Sande, E.J. Langereis, M.A.G.E. Bannier, M.W.H. Pijnenburg, S. Hashimoto, S.W.J. Terheggen-Lagro

*Corresponding author for this work

Research output: Contribution to journalArticleAcademicpeer-review

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Background: Long-COVID is a well-documented multisystem disease in adults. Far less is known about long-term sequelae of COVID in children. Here, we report on the occurrence of long-COVID in Dutch children.Patients and Methods: We conducted a national survey asking Dutch pediatricians to share their experiences on long-COVID in children. We furthermore describe a case series of six children with long-COVID to explore the clinical features in greater detail.Results: With a response rate of 78% of Dutch pediatric departments, we identified 89 children, aged 2-18 years, suspected of long-COVID with various complaints. Of these children, 36% experienced severe limitations in daily function. The most common complaints were fatigue, dyspnea, and concentration difficulties with 87%, 55%, and 45% respectively. Our case series emphasizes the nonspecific and broad clinical manifestations seen in post-COVID complaints.Conclusion: Our study shows that long-COVID is also present in the pediatric population. The main symptoms resemble those previously described in adults. This novel condition demands a multidisciplinary approach with international awareness and consensus to aid early detection and effective management.
Original languageEnglish
Pages (from-to)2495-2502
Number of pages8
JournalPediatric Pulmonology
Issue number8
Publication statusPublished - 1 Aug 2021


  • infections
  • pneumonia
  • TB
  • viral

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