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Multisystem inflammatory syndrome in children (MIS-C) associated with COVID-19, clinical characteristics: A
Marwan Shalabi1, Salam Ghanem2, Iyad Al-Ammouri3
1Department of Pediatrics, School of Medicine, The Hashemite University, Amman, Jordan.
Insights
Multisystem inflammatory syndrome in children (MIS-C) is a COVID-19 complication. This study of 74 Jordanian children found varied severity, with abdominal pain common, but no deaths occurred.
Area of Science:
- Pediatrics
- Infectious Diseases
- Public Health
Background:
- Multisystem inflammatory syndrome in children (MIS-C) is a serious condition linked to COVID-19.
- Understanding MIS-C's clinical presentation and outcomes in diverse populations is crucial.
Purpose of the Study:
- To describe the clinical course, management, and outcomes of MIS-C in Jordanian children.
- To compare findings with global MIS-C data.
Main Methods:
- A multicenter retrospective study of 74 children diagnosed with MIS-C in Jordan.
- Data collected included clinical, laboratory, radiological, and therapeutic information.
Main Results:
- Common symptoms included fever, abdominal pain, and hypoxia.
- Cardiac involvement was infrequent and lacked coronary findings.
- Treatments primarily involved Corticosteroids and IVIG; no mortality was observed, but some cases required Pediatric Intensive Care Unit admission.
Conclusions:
- The clinical spectrum of MIS-C in Jordan mirrors global observations.
- Abdominal pain was a prevalent symptom, sometimes leading to misdiagnosis as surgical emergencies.
- While severe cases occurred, the overall outcome in this cohort was favorable, with no reported deaths.
Objective:
Multisystem inflammatory syndrome of childhood (MIS-C) is a newly recognized entity associated with COVID-19 in children. The objective was to describe the clinical course for 74 patients diagnosed with this disease.
Methods:
A multicenter retrospective study including 5 major hospitals in Jordan was conducted. Data from children admitted with confirmed SARS-CoV-2 infection or were in close contact with confirmed cases were collected. Total of 74 patients were diagnosed with MIS-C. Clinical, laboratory, radiological and therapeutic data were collected by retrospective chart review.
Results:
Fever, abdominal pain, hypoxia and other manifestation occurred. Cardiac findings were less common and did not include coronary findings. Treatments were mainly Corticosteroids and IVIG. No mortality was found in this series but serious disease occurred and some patients were admitted to Pediatric Intensive Care Unit.
Conclusions:
This study described the epidemiology, clinical course, management, and outcome of MIS-C cases in Jordan. The findings were consistent with what has been described from other regions globally. There was a wide spectrum in the severity of presentation. Abdominal pain was more prevalent and some children were misdiagnosed as surgical acute abdomen.
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