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What is MIS-C, a post COVID-19 complication in children?-Health News , Firstpost

Pediatric multisystem inflammatory syndrome is rare and most children can be recovered with timely treatment

Reports of post-COVID complications that can affect multiple organs in children have recently raised concerns. First post I consulted with two senior doctors in Maharashtra to understand the condition, its symptoms, and the signs that parents need to be aware of.

What is MIS-C?

Pediatric multisystem inflammatory syndrome (MIS-C) may be present 2 to 6 weeks after asymptomatic or symptomatic, according to a statement from the Indian Academy of Pediatrics (IAP) dated May 22. COVID-19 (New Coronavirus Infection) Infectious disease due to immunomodulatory deficiency.

Dr. Yogash Kumar Gupta, a pediatrician at Fortis Healthcare in Bangalore, told the news agency. PTI Its MIS-C is the result of the body’s reaction to antigens developed to resist. Coronavirus infection.

“Active COVID infections are mostly mild to moderate symptoms, so we’re not worried, but when they recover and contain antibodies, these antibodies somehow react to the child. It’s like an allergy or a physical reaction, “explained a child expert.

“(MIS-C) I’m not saying it’s dangerous or life-threatening, but of course it can have a negative effect on children. It can affect organs such as the heart, liver and kidneys of children.” He added.Documented entities in other countries after the peak of COVID-19 (New Coronavirus Infection) finished.

How popular is it?

According to doctors, MIS-C is rare and most occur in teens. According to the IAP, the incidence of MIS-C is 12 per 100,000 population.

Talk to First postDr. Ankit Gupta, chief pediatric critical care specialist at Wokhart Hospital in Miralord, near Mumbai, has no accurate data on prevalence, but according to Western literature, MIS-C COVID-19 (New Coronavirus Infection) infection.

According to Dr. Tushar Parikh, a neonatologist and pediatrician at Motherhood Hospital in Pune’s Karadi, MIS-C is a less common complication and is more common in adolescence than in infants. “It’s less common (in children) under the age of six. It’s almost twice as common in children aged 6 to 12 and three times in children aged 12 to 18,” said a Pune-based doctor. Said. It is slightly more common in obese children, he added.

“Probably because Wockhardt is a tertiary care research center, we see MIS-C patients in all age groups under the age of 18, but the literature says that teens are at high risk,” Gupta said. Says.

“Approximately 20 to 25 MIS-C cases were hospitalized (in Wokchardt) in the second wave until May 29,” he said. He added that cases of MIS-C begin to occur 2-4 weeks after the peak of COVID infection.

Parik said more children will bring MIS-C in May as more children develop. COVID-19 (New Coronavirus Infection) In April.

According to Dr. Gilidara R. Bab, an epidemiologist at the Indian Public Health Foundation and a member of the Karnataka COVID Technical Advisory Board, hospital-based prevalence is not the correct parameter for population-level parameters.

“But that doesn’t deprive us of the importance of studying this (MIS-C). Even if it’s a small percentage, this requires a thorough investigation. Prior to the next wave. We need a clear understanding, “Bab said. PTI May.

What are the symptoms?

According to Paric, the characteristics of the MIS-C type include recurrence of fever, generalized rash, and general weakness, but blood pressure and oxygen decrease 3 to 4 weeks after the actual appearance of COVID symptoms. in some cases.

“Children show high fever, rash, general weakness, involvement of certain organs, cause low blood pressure and dyspnea, and may require care in the ICU. First illness (COVID-19) ) May be very mild or undetectable, but the child may still get a higher illness later as MIS-C.

Abdominal pain was also a common symptom and was thought to be appendicitis, but was ruled out by ultrasonography and found that the patient had previously experienced COVID infection with an inflammatory marker.

Dr. Gupta also included conjunctivitis, gastrointestinal symptoms, and neck swelling and redness as symptoms. Children are often frustrated and lethargic, he added.

What signs should parents be aware of?

Parents should be aware that high fever will continue. “A fever of more than 4-5 days should give an alarm,” Gupta said.

Parik added that parents need to be aware of MIS-C and specified that if the child has a fever of over 100 degrees for 3 days and has a rash, he should see a doctor. MIS-C may be a sequela (a condition caused by a previous illness) COVID-19 (New Coronavirus Infection) Infectious diseases in children, he said.

“Then, as the disease progresses, blood pressure drops, shocks occur, urine output decreases, and multiple organ failure occurs,” Gupta said, but he was relieved. Most children recover with timely treatment.

The IAP also states that it is a treatable condition with good results if diagnosed early. Also, most children who suffer from MIS-C cannot infect others with the infection, “he said.

Parik has announced that there are treatment guidelines depending on whether the condition is mild, moderate or severe. “It also depends on the need for ICU admission, the ability to manage in the ward, and the involvement of the heart and coronary arteries. Due to inflammation of multiple organs in the body, including the heart, lungs, kidneys, skin, and intestines. The treatment group primarily controls inflammation. Certain children can affect certain organs. Not all organs are involved, but three or more organs are involved. If so, it is called MISC. Treatment involves the use of steroids and IV immunoglobulins, “he said.

What does the center say about it?

At a press conference in early June, NITI Aayog member (health) Dr. VK Paul said the syndrome was seen after COVID among children and a national group was formed to investigate childhood complications associated with infection. Said that.

Post-COVID syndrome is a unique illness found in children, and guidelines have been established to understand its onset, he said.

“There is no difficult cure for multisystem inflammatory syndrome, but it must be timely,” Paul said.

Terms of serious complications of MIS-C Coronavirus Patients, June 2 Center, state to share data on new cases of MIS-C recorded as status is not regularly reported through the Integrated Disease Monitoring Portal (IDSP) or other portals And requested the coalition area. India Express..

The Federal Ministry of Health also called on the state and UT to identify secondary and tertiary health care institutions with the expertise and facilities to deal with the disease, the report said.

With input from PTI

What is MIS-C, a post COVID-19 complication in children?-Health News , Firstpost Source link What is MIS-C, a post COVID-19 complication in children?-Health News , Firstpost

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