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COVID-19, MIS-C, and long COVID in pediatric patients: an update
Joshua Rocker1, Caroline Weiss2
1Chief, Division of Pediatric Emergency Medicine, Northwell Health; Cohen Children's Medical Center, New Hyde Park, NY.
Insights
This review covers COVID-19, multisystem inflammatory syndrome in children (MIS-C), and post-acute sequelae of SARS-CoV-2 (PASC). It details their presentation, management, and the latest research on public health, vaccinations, and complications.
Area of Science:
- Infectious Diseases
- Public Health
- Pediatrics
Background:
- COVID-19 (caused by SARS-CoV-2) initially presented as a respiratory illness.
- The long-term effects of SARS-CoV-2, known as post-acute sequelae of SARS-CoV-2 (PASC), impact multiple organ systems.
- Multisystem inflammatory syndrome in children (MIS-C) is a severe condition associated with SARS-CoV-2 infection.
Purpose of the Study:
- To review the clinical presentation, evaluation, and management of COVID-19.
- To discuss the emerging disease entity of MIS-C in children.
- To explore the scope of PASC and its systemic involvement.
Main Methods:
- Literature review of current research on COVID-19, MIS-C, and PASC.
- Analysis of data regarding disease presentation and patient management.
- Synthesis of evidence supporting public health interventions and vaccination strategies.
Main Results:
- COVID-19 affects multiple organ systems beyond the respiratory tract.
- PASC involves widespread organ system sequelae.
- MIS-C presents with significant morbidity and mortality in pediatric populations.
Conclusions:
- Comprehensive understanding and management strategies are crucial for COVID-19, MIS-C, and PASC.
- Public health measures and vaccination remain critical in controlling the pandemic.
- Ongoing research is vital to address the multifaceted impacts of SARS-CoV-2.
Abstract:
COVID-19, the disease caused by SARS-CoV-2, has been disruptive worldwide. It was primarily a respiratory disease that affected many of the medically vulnerable, but the true impact of postacute sequelae of SARS-CoV-2 (PASC), which has been demonstrated to involve all organ systems, is now coming to light. In addition, a new disease entity emerged, multisystem inflammatory syndrome in children (MIS-C), which has had significant morbidity and mortality associated with it. This issue reviews the presentation, evaluation, and management of patients with COVID-19, MIS-C, and PASC. Additionally, the current literature supporting public health measures, as well as COVID-19 vaccinations and their complications are discussed.
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