The truth about the most serious post-Covid-19 syndrome in children
On the morning of April 19, the Department of Health of Ho Chi Minh City said that in the period from June 2021 to March 2022, the city had 71,076 children with Covid-19. Among them, 315 children were diagnosed with or suspected of having MIS-C multisystem inflammatory syndrome, accounting for 0.4%.
According to the City’s Department of Health, all patients responded well to treatment, and no children died. In which, the most common age group is under 5 years old with 149 cases, 145 children from 5 to 12 years old and only 21 cases of MIS-C being children over 12 years old.
MIS-C syndrome is an inflammation of various organs including the heart, lungs, kidneys, brain, skin, eyes or gastrointestinal tract in children with a history of Covid-19. This is a new syndrome, first confirmed in April 2020 in the US and UK.
In the US, the rate of MIS-C in children after Covid-19 is about 0.6%, which means that every 1,000 children with Covid-19 will have this syndrome.
Multisystem inflammation usually occurs about 2 to 6 weeks after SARS-CoV-2 infection. Children often have signs such as persistent high fever, red eyes, red lips, skin rash, swollen neck lymph nodes and digestive symptoms such as vomiting, abdominal pain, diarrhea.
Severe complications of MIS-C in children often involve the cardiovascular system, including coronary artery inflammation and decreased contractile function of the myocardium. Particularly complications of coronary artery disease, if not treated promptly, can leave long-term sequelae on the cardiovascular system such as coronary artery dilation, myocardial ischemia.
The city’s health sector recommends that children suspected of having post-Covid-19 multisystem inflammatory syndrome should be monitored and treated at pediatric hospitals. Drugs to treat MIS-C include drugs that suppress and regulate the immune system (such as corticosteroids, intravenous Imunoglobuline – IVIG..), vasopressors… In some critical cases, respiratory support is required. circulatory respiration.
Children after stable treatment and discharged from the hospital still need to be re-examined every month for at least 3-6 months thereafter, or as soon as severe symptoms appear. The purpose is to monitor possible complications on the cardiovascular system.
The best way to prevent children from developing MIS-C syndrome is for children 5 years of age and older to get the Covid-19 vaccine when eligible. At the same time, regularly wash your hands, avoid close contact with sick people, wear a mask when going to public places, areas with high transmission capacity even after being fully vaccinated.
Linh Giao
at Blogtuan.info – Source: vietnamnet.vn – Read the original article here
