Multisystemic Inflammatory Syndrome in Children From the South of Colombia: One Year of Experience

Pilar Pérez López1,2,3, Darling Carvajal Duque1,3, Doris Martha Salgado García3

  • 1Department of Pediatrics, Hospital Universitario Hernando Moncaleano Perdomo, Neiva, Colombia.

Insights

Multisystemic inflammatory syndrome in children (MIS-C) in Colombia predominantly presented with gastrointestinal symptoms. High mortality in these pediatric cases was linked to underlying health issues, necessitating improved physician training for early diagnosis and treatment.

Area of Science:

  • Pediatric infectious diseases
  • Pediatric critical care
  • Epidemiology of viral infections

Background:

  • Multisystemic inflammatory syndrome in children (MIS-C) is a severe pediatric complication of COVID-19.
  • Limited data exists on MIS-C characteristics in Colombian children.
  • This study addresses the knowledge gap regarding MIS-C in this population.

Purpose of the Study:

  • To characterize the clinical and epidemiological features of hospitalized children diagnosed with MIS-C in Neiva, Colombia.
  • To analyze laboratory findings, cardiac evaluations, treatments, and outcomes.
  • To provide insights into MIS-C presentation in a specific South American pediatric cohort.

Main Methods:

  • An observational follow-up cohort study was conducted over 12 months (May 2020 - May 2021).
  • Data collected included epidemiological, clinical, and laboratory characteristics, echocardiograms, treatments, and outcomes from 34 MIS-C patients.
  • Statistical analysis was performed on the collected data.

Main Results:

  • The median age of the 34 MIS-C patients was 68 months.
  • Gastrointestinal symptoms (vomiting, diarrhea, abdominal pain) were most frequent (79%, 70%, 67%).
  • SARS-CoV-2 infection history was documented in 77% of patients; 35.4% showed systolic dysfunction and 35% coronary involvement on echocardiograms.

Conclusions:

  • Gastrointestinal manifestations were predominant in Colombian children with MIS-C.
  • Mortality was high compared to international data but consistent with Colombian reports, associated with comorbidities.
  • Enhanced physician training is crucial for early MIS-C diagnosis and timely intervention.
Abstract