While most confirmed infected have had only mild symptoms, reports by doctors in the United States and Europe have revealed new data on the impact of the Coronavirus on children. As published in a New York Times article, health professionals have been detecting a “mysterious and terrifying disease” in an increasing number of minor patients.
Always on the basis of the reports of the doctors, the serious picture includes inflammation in the skin, the eyes, the blood vessels and the heart. Around this condition, which doctors call “pediatric multisystemic inflammatory syndrome”, a large number of questions arise that doctors seek to answer with the aim of providing a key picture to the population and their colleagues.
So far, symptoms are expected to include fever, rash, red eyes, swollen lymph nodes, and acute abdominal pain. What is striking and makes a difference with the symptoms that elderly people suffer is that, in general, two common characteristics of Covid-19 are not detected: cough and shortness of breath.
In this sense, the doctors interpret that this table bears a similarity to a rare childhood disease called Kawasaki disease. It is that, according to the comparisons that have been made, both imply an increase in inflammation in the body and can have serious effects on the heart.
For Dr. Steven Kernie, chief of pediatric critical care medicine at Columbia University and New York-Presbyterian Morgan Stanley Children’s Hospital, the picture children with COvid-19 would be developing seems to affect the heart differently. Unlike Kawasaki, which can cause coronary aneurysms when left untreated, with the coronavirus inflammation of the coronary arteries and other blood vessels would occur.
“This data emerges from the situations that many infected children have experienced who experience toxic shock caused by very low blood pressure and an inability of the blood to effectively circulate oxygen and nutrients to the organs of the body,” he said. Dr. Kernie.
While most children hospitalized with the syndrome need some extra oxygen, and some have required ventilators, the effect on the lungs appears to be driven by an inflammatory response that affects many other parts of the body as well.
Although there are no details on the number of children who have been affected by this situation, the New York State Department of Health indicated in recent hours that so far there have been 64 cases reported by hospitals throughout the state. In addition, at least 50 cases have been reported in European countries, including Great Britain, France, Switzerland, Spain and Italy.
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Dr. Katie Schafer, a general pediatrician who has a private practice in Birmingham, Michigan, a Detroit suburb, said that because there were still so many unknowns about the condition, parents of children with symptoms should take them to pediatricians instead of Assuming that a skin rash or fever or abdominal pain is just a sign of a typical childhood illness. In this regard, he added that it is possible that this condition may manifest itself after infection and is not necessarily part of the acute phase of Covid.
Regarding the treatments, it was indicated that so far steroids, intravenous immunoglobulin, high doses of aspirin and antibiotics, as well as support oxygen through the nose, a mask or, in the most severe cases, a ventilator, have been used. In this regard, they specified that the majority of intubated children can be removed from the ventilators in a few days.
Regarding long-term effects, the article indicates that “it is not clear if permanent damage has been reported, although it is highlighted that children who have had serious effects on their hearts should be monitored by cardiologists to detect if any residual cardiac damage occurred .