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Multisystem Inflammatory Syndrome in Children: A Comprehensive Review Over the Past Five Years.
Olivia Shyong1,2, Nora Alfakhri1,2, Sara V Bates2,3
1Department of Pediatrics, Pediatric Critical Care Medicine, Massachusetts General Hospital, Boston, MA, USA.
Journal of Intensive Care Medicine
|March 17, 2025
Summary
Multisystem Inflammatory Syndrome in Children (MIS-C) is a severe condition following COVID-19. This review details its pathophysiology, treatments, and outcomes in pediatric populations.
Area of Science:
- Pediatric rheumatology
- Infectious diseases
- Public health
Background:
- The COVID-19 pandemic has been linked to the emergence of Multisystem Inflammatory Syndrome in Children (MIS-C).
- MIS-C represents a significant post-infectious complication affecting children.
- Understanding MIS-C is crucial for managing pediatric health during and after viral outbreaks.
Purpose of the Study:
- To provide a comprehensive review of Multisystem Inflammatory Syndrome in Children (MIS-C) over the last five years.
- To analyze the epidemiological factors, pathophysiology, and clinical presentation of MIS-C.
- To summarize current treatment strategies and evaluate short- and long-term patient outcomes.
Main Methods:
- Systematic literature review of studies published in the last five years.
- Analysis of epidemiological data, clinical characteristics, and diagnostic criteria for MIS-C.
- Review of treatment protocols and patient outcome data from various cohorts.
Main Results:
- MIS-C presents with diverse clinical manifestations, often involving multiple organ systems.
- Early recognition and multidisciplinary management are key to improving patient outcomes.
- While most children recover, some experience persistent symptoms or long-term sequelae.
Conclusions:
- MIS-C is a serious condition requiring ongoing research into its long-term effects.
- Effective management strategies for MIS-C have evolved, but further research is needed.
- Continued surveillance and understanding of MIS-C are essential for pediatric public health preparedness.

