At least 3 children with coronavirus at LA hospital develop rare inflammatory condition possibly linked to COVID-19

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Source: https://www.foxnews.com/health/children-coronavirus-la-hospital-develop-rare-inflammatory-condition


Published 1 day ago
Children with coronavirus at LA hospital develop rare inflammatory condition possibly linked to COVID-19
By Madeline Farber | Fox News

Some patients at a California children’s hospital have developed a rare inflammatory condition possibly linked to the novel coronavirus. The condition has also been reported in recent weeks in pediatric coronavirus cases in New York and the United Kingdom.

At least three patients at Children’s Hospital Los Angeles displayed signs of the pediatric inflammatory multisystem syndrome, or PIMS, which doctors have said is similar to Kawasaki disease, or a condition that causes swelling in medium-sized arteries throughout the body. Kawasaki disease, which primarily affects children and has less than 6,000 diagnosed cases in the U.S. each year, often leads to inflammation in the coronary arteries, according to the Mayo Clinic...

 

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The working case definition set out by the RCPCH says children may present with 'persistent fever, inflammation (neutrophilia, elevated CRP and lymphopaenia) and evidence of single or multi-organ dysfunction (shock, cardiac, respiratory, renal, gastrointestinal or neurological disorder) with additional features' that may include children 'fulfilling full or partial criteria for Kawasaki disease'.

A PCR test for SARS-CoV-2 'may be positive or negative', the advice says - and although other potential causes 'including bacterial sepsis, staphylococcal or streptococcal shock syndromes, infections associated with myocarditis such as enterovirus' should be considered, doctors should seek expert advice without waiting for test results to come back.

Paediatrician and RCPCH registrar Dr Mike Linney said: 'This new case description aims to include a range of all the possible symptoms and diagnostic information which doctors can use to make decisions about how to treat a child who may have the condition.

Child inflammatory syndrome


'There is no one sign or symptom which alone would indicate that a child has the condition. Doctors can use the definition to look for a pattern of combined symptoms. All of these children were extremely unwell, with features suggestive of sepsis such as a persistently high temperature coupled with rapid breathing, cold hands and feet and sleepiness. The other symptoms varied greatly in the different cases.'

NHS national clinical director for children and young people Simon Kenny said: 'This is helpful guidance for frontline NHS staff on this condition. To be very clear to any worried parents out there, this remains very rare, and the advice remains the same as ever: if you are worried about your child for whatever reason, contact NHS 111 or your family doctor for urgent advice, or 999 in an emergency, and if a professional tells you to go to hospital, please do so immediately.'

 

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https://vietnamtimes.org.vn/kawasaki...rus-20047.html

On Wednesday afternoon, New York City mayor Bill de Blasio relayed this information in an “urgent health alert” for parents and doctors: “If your child is experiencing a persistent fever, rash, abdominal pain or vomiting, call your doctor right away,” he tweeted, elaborating that the NYC Department of Health and Mental Hygiene has instructed all city health providers to “immediately” report any patients under 21 years of age who exhibit symptoms associated with Kawasaki disease.

The group said there was “growing concern” that either a COVID-19 related syndrome was emerging in children or that a different, unidentified disease might be responsible.

Spain’s Association of Pediatrics recently made a similar warning, telling doctors that in recent weeks, there had been a number of school-age children suffering from “an unusual picture of abdominal pain, accompanied by gastrointestinal symptoms” that could lead within hours to shock, low blood pressure and heart problems.

These individuals, from six to 95-year-old, fought the coronavirus and won.

In Italy, Dr. Angelo Ravelli of Gaslini Hospital and a member of the Italian Paediatricians' Society, sent a note to 10,000 colleagues raising his concerns. He and his team reported an unusual increase in the number of patients with Kawasaki disease in regions of Italy hit hard by the pandemic, noting some children had COVID-19 or had contacts with confirmed virus cases.

Some possible cases have also been reported in France and Belgium.