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Multisystem Inflammatory Syndrome in Children (MIS-C) Associated With COVID-19 Infection in Morocco
Naima Amenzoui1,2, Siham Zouiter1,2, Meriem Nassid1
1Clinical Immunology and Infectious Pediatrics Department, Abderrahim Harouchi Mother and Childrens Hospital, Casablanca, Morocco.
Insights
This study describes the clinical features of Multisystem Inflammatory Syndrome in Children (MIS-C) in Morocco. Findings align with global data, highlighting fever, respiratory, and gastrointestinal symptoms in affected pediatric patients.
Area of Science:
- Pediatrics
- Infectious Diseases
- Rheumatology
Background:
- Multisystem Inflammatory Syndrome in Children (MIS-C) is a rare but serious condition following viral infections.
- Understanding the clinical spectrum of MIS-C is crucial for timely diagnosis and management.
- Previous studies have documented MIS-C globally, but regional data is essential.
Purpose of the Study:
- To characterize the clinical and paraclinical features of MIS-C in a Moroccan pediatric cohort.
- To compare these findings with existing international literature on MIS-C.
- To provide insights into the presentation and treatment of MIS-C in North Africa.
Main Methods:
- Retrospective study of 52 children diagnosed with MIS-C.
- Data collected over a 3-year period at Abderrahim Harrouchi Hospital, Morocco.
- Diagnosis based on World Health Organization (WHO) criteria.
Main Results:
- Median age of affected children was 6 years (IQR: 1-14).
- Fever was universal (100%), with frequent respiratory (58%) and gastrointestinal (44%) symptoms.
- Myocarditis occurred in 12% of cases; shock in 17%.
- All patients received intravenous immunoglobulin and methylprednisolone.
Conclusions:
- The clinical profile of MIS-C in this Moroccan cohort mirrors international observations.
- Fever, respiratory, and gastrointestinal symptoms are key indicators.
- Further research is warranted to validate these findings and inform regional guidelines.
Abstract:
Introduction. This study aims to describe the clinical and paraclinical characteristics of Multisysteminflammatory syndrome in children (MIS-C). Methods. A retrospective study encompassing 52 children diagnosed with MIS-C according to the World Health Organization criteria, over a 3-year period at Abderrahim Harrouchi Hospital in Morocco. Results. The median age was 6 years (IQR: 1-14), with a sex ratio of 1.16 (28 boys and 24 girls). Clinical manifestations were predominantly characterized by fever in all cases (100%), respiratory and gastrointestinal symptoms in 30 cases (58%) and 23 cases (44%) respectively, and shock in 9 cases (17%). We noted a myocarditis in 6 cases (12%). The treatment comprised intravenous human Immunoglobulin combined with methylprednisolone in all patients (100%). Conclusion. The characteristics of our MIS-C patients were similar to those in the literature, but more studies are needed to confirm these results.
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