CNN – Parents, hospitals and clinics could expect more cases of a mystical condition called “Coronavirus Syndrome” that appears to affect children after a battle with Covid-19, doctors said Wednesday.
Coronavirus Syndrome : The condition, called multisystem inflammatory syndrome in children, appears to be a postviral syndrome, said Dr. Jeffrey Burns, an intensive care specialist at Boston Children’s Hospital, who coordinates a group of physicians worldwide who are comparing notes about the condition.
Doctors investigate cases in at least 150 children, most of them in New York. But a CNN study shows that hospitals and clinics in at least 18 states and Washington, DC are investigating suspicious cases.
“This multi-system inflammatory syndrome is not directly caused by the virus,” Burns told CNN. “The leading hypothesis is that it is due to the patient’s immune response.”
Symptoms include persistent fever, inflammation, and malfunction of organs such as the kidneys or heart. Children may also show signs of blood vessel inflammation, such as red eyes, a bright red tongue, and chapped lips, said Dr. Moshe Arditi, a pediatric infectious disease expert at Cedars-Sinai Medical Center in Los Angeles.
British doctors first raised the alarm about the syndrome last month. The Royal College of Paediatrics said on Thursday that between 75 and 100 children in Britain had been affected. Italian doctors have also reported the syndrome.
Dr. Ngozi Ezike, director of the Illinois Department of Public Health, said it is a complicated condition.
‘It is a spectrum of disorders, so in some cases you have an individual involvement of the coronary artery. Sometimes not, “Ezike said at a news conference.
A delayed response to infection
Not all affected children have tested positive for the coronavirus, but reports from Europe and from several cities in the United States show a connection.
“There seem to be delayed responses to Covid infections in these children,” Arditi said.
Burns believes more cases will emerge as Covid-19 affects more people. It is a rare condition, but rare consequences of viral infections are more often seen when millions of people are infected.
“We can expect each of the epicenters to see clusters of these emerge about four to six weeks later,” Burns told CNN.
“It makes sense that it first originated in New York because New York had the largest and most serious (Covid-19) outbreak, followed by New Jersey and, unfortunately, Boston.”
Most children are not severely affected by the coronavirus syndrome, Burns said. Most don’t even need treatment in intensive care, he said, although only a few have died. “We have proven treatments that we can use and use,” he said. They include blood thinners and immune modulators.
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The Centers for Disease Control and Prevention are preparing a Health Alert Network report to send to doctors across the country, a CDC spokesperson said. Burns said the World Health Organization is also in the process of defining the syndrome and alerting doctors so they know what to look for and how to treat it.
disease, “Arditi told CNN.” But there are many more features consistent with toxic shock syndrome, such as multi-organ involvement and severe abdominal involvement in diarrhea, “he added.
It will be important to study, as the response may help explain why children are less likely to be affected by Covid-19 than adults, Burns said.
“Understanding the child’s immune response can be a key to vaccine development and can also be a key to adult therapy to understand why children can fight so well (Covid-19),” Burns said.
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REF : CNN