SARS-CoV-2-related paediatric inflammatory multisystem syndrome, an epidemiological study, France, 1 March to 17 May 2020
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Published on: November 10, 2023
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.
Abstract:
End of April 2020, French clinicians observed an increase in cases presenting with paediatric inflammatory multisystem syndrome (PIMS). Nationwide surveillance was set up and demonstrated temporospatial association with the coronavirus disease (COVID-19) epidemic for 156 reported cases as at 17 May: 108 were classified as confirmed (n = 79), probable (n = 16) or possible (n = 13) post-COVID-19 PIMS cases. A continuum of clinical features from Kawasaki-like disease to myocarditis was observed, requiring intensive care in 67% of cases.
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