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.