Multisystem inflammatory syndrome in children with COVID-19.
Am J Emerg Med
; 49: 148-152, 2021 11.
Article
in English
| MEDLINE | ID: covidwho-1316366
ABSTRACT
BACKGROUND:
Multisystem inflammatory syndrome in children (MIS-C) is a dangerous pediatric complication of COVID-19.OBJECTIVE:
The purpose of this review article is to provide a summary of the diagnosis and management of MIS-C with a focus on management in the acute care setting.DISCUSSION:
MIS-C is an inflammatory syndrome which can affect nearly any organ system. The most common symptoms are fever and gastrointestinal symptoms, though neurologic and dermatologic findings are also well-described. The diagnosis includes a combination of clinical and laboratory testing. Patients with MIS-C will often have elevated inflammatory markers and may have an abnormal electrocardiogram or echocardiogram. Initial treatment involves resuscitation with careful assessment for cardiac versus vasodilatory shock using point-of-care ultrasound. Treatment should include intravenous immunoglobulin, anticoagulation, and consideration of corticosteroids. Interleukin-1 and/or interleukin-6 blockade may be considered for refractory cases. Aspirin is recommended if there is thrombocytosis or Kawasaki disease-like features on echocardiogram. Patients will generally require admission to an intensive care unit.CONCLUSION:
MIS-C is a condition associated with morbidity and mortality that is increasingly recognized as a potential complication in pediatric patients with COVID-19. It is important for emergency clinicians to know how to diagnose and treat this disorder.Keywords
Full text:
Available
Collection:
International databases
Database:
MEDLINE
Main subject:
Systemic Inflammatory Response Syndrome
/
COVID-19
Type of study:
Diagnostic study
/
Prognostic study
Topics:
Long Covid
Limits:
Adolescent
/
Child
/
Child, preschool
/
Humans
/
Infant
/
Infant, Newborn
Language:
English
Journal:
Am J Emerg Med
Year:
2021
Document Type:
Article
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