Evolution and management of the pediatric multi-systemic inflammatory syndrome associated with SARS CoV-2 infection in a pediatric ICU in Lima, Peru
Revista del Cuerpo Medico Hospital Nacional Almanzor Aguinaga Asenjo
; 14(3):262-266, 2021.
Article
in Spanish
| Scopus | ID: covidwho-1649222
ABSTRACT
Background:
Pediatric Multisystemic Inflammatory Syndrome (SIMP) associated with SARS CoV2 seriously affects children.Objective:
To describe the symptoms, treatment and evolution of SIMP in patients of a reference Pediatric Intensive Care Unit (PICU).Findings:
18 children were identified with a mean age of 8.76 years, 50% male, all with a positive serological test. The most frequent manifestations were fever (100%), respiratory distress (94%), abdominal pain (89%), elevated C-reactive protein (average 21.8), thrombocytopenia (50%), pathological chest X-ray (89%) and depressed myocardial contractility (61%). 72% required invasive mechanical ventilation (average 3 days) and catecholamines;89% used corticosteroids plus immunoglobulins. The average stay in the PICU was 5.5 days. One patient died of intracerebral hemorrhage.Conclusions:
SIMP in PICU is characterized by fever, respiratory distress, abdominal pain, elevated inflammatory markers, and myocardial depression. Requiring corticosteroids, immunoglobulin and ventilatory support;presenting intermediate stay and low mortality. © 2021 Medical Body of the Almanzor Aguinaga Asenjo National Hospital. All rights reserved.
Full text:
Available
Collection:
Databases of international organizations
Database:
Scopus
Country/Region as subject:
South America
/
Peru
Language:
Spanish
Journal:
Revista del Cuerpo Medico Hospital Nacional Almanzor Aguinaga Asenjo
Year:
2021
Document Type:
Article
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