SARS-CoV-2-related paediatric inflammatory multisystem syndrome, an epidemiological study, France, 1 March to 17 May

Alexandre Belot1, Denise Antona2, Sylvain Renolleau3

  • 1Filière de santé des maladies auto-immunes et auto-inflammatoires rares (FAI2R), Lyon, France.

Insights

Paediatric inflammatory multisystem syndrome (PIMS) cases increased in France during the COVID-19 epidemic. These cases showed a range of symptoms, from Kawasaki-like disease to myocarditis, with many requiring intensive care.

Area of Science:

  • Pediatrics
  • Infectious Diseases
  • Cardiology

Background:

  • An increase in pediatric inflammatory multisystem syndrome (PIMS) was observed in France in late April 2020.
  • This surge coincided with the coronavirus disease (COVID-19) epidemic.

Purpose of the Study:

  • To investigate the association between PIMS and the COVID-19 epidemic.
  • To characterize the clinical features and outcomes of PIMS cases.

Main Methods:

  • Nationwide surveillance was implemented to identify and track PIMS cases.
  • Cases were classified as confirmed, probable, or possible post-COVID-19 PIMS.

Main Results:

  • 156 cases were reported by May 17, with 108 classified as post-COVID-19 PIMS.
  • Clinical presentations ranged from Kawasaki-like disease to myocarditis.
  • 67% of affected children required intensive care.

Conclusions:

  • A temporospatial association between PIMS and the COVID-19 epidemic was demonstrated.
  • PIMS presents with diverse clinical manifestations in children.
  • Severe illness requiring intensive care is common in PIMS.

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