Syndrome in children due to COVID-19

MULTISYSTEM INFLAMMATORY SYNDROME IN CHILDREN RELATED TO COVID-19

According to a news from WHO, as of 15 May 2020, more than 4 million confirmed cases of Covid-19,  including more than 2,85000 deaths have been reported to WHO.


                             Person Holding Laboratory Flask


The risk of deaths and severe symptoms has been highest in elderly people and in persons with underlying disease such as hypertension, cardiac disease, chronic lung disease and cancer. In children the cases are milder compared with adults, but some children do required hospitalization and intensive care.

Recent reports from Europe and North America have described many children and adolescents require admission to intensive care units with a multi system inflammatory condition with some features similar to Kawasaki disease and toxic shock syndrome. 
Case reports presentation describes acute illness accompanied by a hyper inflammatory syndrome, leading to multi organ failure, and shock.

MULTIPLE INFLAMMATORY SYNDROME : It is a condition mainly affects children under the age of 5, or younger children. Covid-19 illness consist of same symptoms of KAWASAKI DISEASE in children    

  •  High grade fever, 
  •  Rash with mucocutaneous inflammatory signs strawberry tongue, palmer erythema later on swelling of hands and feet,
  •  Swollen glands in the neck.  lymph adenopathy,
  •  Dry fissured lips,
  •  Red eyes, conjunctivitis,
  •  Diarrhoea,  vomiting, abdominal pain, some time jaundice is also positive, 
  •  Severe cases : coronary arteritis,
  • Hypotension or shock,
  • Myocardial dysfunction, pericarditis, valvulitis, or coronary abnormalities in ECHO findings'
  • Coagulopathy...PT, PTT, elevated  d-Dimers 
  •  Elevated  ESR, C-reactive protein, or Prolacitonin.
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