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Epidemiological and Clinical Profile of Pediatric Inflammatory Multisystem Syndrome - Temporally Associated with
K Dhanalakshmi1, Aishwarya Venkataraman2, S Balasubramanian1
1Department of Paediatrics, Kanchi Kamakoti CHILDS Trust Hospital, Chennai, Tamil Nadu, India.
Insights
Pediatric Inflammatory Multisystem Syndrome - Temporally associated with SARS-CoV-2 (PIMS-TS) in children presents with diverse symptoms including fever and multi-organ involvement. This study found no deaths among affected children, indicating potential for good outcomes with treatment.
Area of Science:
- Pediatric Infectious Diseases
- Immunology
- Cardiology
Background:
- Pediatric Inflammatory Multisystem Syndrome - Temporally associated with SARS-CoV-2 (PIMS-TS) is a serious condition affecting children.
- Understanding PIMS-TS is crucial for timely diagnosis and management.
Purpose of the Study:
- To describe the demographic, clinical, and laboratory findings of children with PIMS-TS.
- To report on the treatment and outcomes for children diagnosed with PIMS-TS.
Main Methods:
- Analysis of clinical and laboratory data from children meeting the PIMS-TS case definition.
- Data collected over an 8-week period from May 4, 2020, to July 8, 2020.
Main Results:
- Nineteen children with a median age of 6 years were identified with PIMS-TS.
- Common symptoms included fever, multi-organ involvement (79%), mucocutaneous (74%), cardiovascular (63%), and gastrointestinal (42%) symptoms.
- All patients had elevated C-reactive protein; 63% required intensive care, but no deaths occurred.
Conclusions:
- PIMS-TS presents with a broad spectrum of clinical manifestations.
- This series showed fewer coronary artery abnormalities and low RT-PCR positivity, but high SARS-CoV-2 antibody presence.
Background:
We describe the demographic, clinical and labo-ratory findings along with the treatment and outcomes among children meeting the case definition of Pediatric Inflammatory Multisystem Syndrome - Temporally associated with SARS-CoV-2 (PIMS-TS).
Methods:
We analyzed the clinical and laboratory findings of children who presented with PIMS-TS during an 8-week period from May 4, 2020 to July 8, 2020.
Results:
We report 19 children with a median age of 6 year (IQR: 13 months-16 years), who met the case definition of PIMS-TS. All of them presented with fever. Multi organ involvement (79%), mucocutaneous involvement (74%), cardiovascular symptoms (63%) and gastrointestinal symptoms (42%) were the other features. Elevated levels of C-reactive protein was found in all of them and the majority of them had evidence of coagulopathy; intensive care admissions were needed in 12 (63%) and vasoactive medications were given to 6 (31.5%) children. There were no deaths.
Conclusion:
Children with PIMS-TS present with a wide range of signs and symptoms. Fewer children in this series had coronary artery abnormalities, and there was a low incidence of RT-PCR positivity with high presence of SARS-CoV-2 antibodies.
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