Early Diagnosis Of Multisystem Inflammatory Syndrome, COVID-Linked Disease In Children Can Reduce Morbidity: Experts | News

June 7, 2021 0 Comments



According to the experts, early diagnosis of Multisystem inflammatory syndrome in children can significantly reduce morbidity and the condition can be treated well with therapies like steroids

Highlights
  • Fever among children should not be taken lightly, suggest experts
  • Some children with asymptomatic or mild COVID have developed MIS-C: Experts
  • A national expert group formed to review COVID-19 infections in children

New Delhi: Early diagnosis of Multisystem inflammatory syndrome, a coronavirus-linked disease, in children can significantly reduce morbidity, say healthcare experts as they advise parents and caregivers not to take fever among the kids lightly. Experts say some children with asymptomatic or mild COVID-19 have also developed this disease. Multisystem inflammatory syndrome in children (MIS-C) is a serious condition that is usually seen two to four weeks after getting infected by the novel coronavirus infection and infants as young as two months old have reported this disease.

Watch: COVID-19 In Children: How Big A Threat Is ‘MIS-C’ And What Are Its Symptoms?

The government has also cautioned that even though COVID-19 has not taken a serious shape among children till now, its impact can increase among them if there is a change in virus behaviour or epidemiology dynamics, and steps are being taken to strengthen preparedness to deal with any such situation. A national expert group has been formed to review COVID-19 infections in children and approach the pandemic in a renewed way so as to strengthen the nation’s preparedness, NITI Aayog Member (Health) V K Paul had said at a press conference last week.

According to the experts, early diagnosis of Multisystem inflammatory syndrome in children can significantly reduce morbidity and the condition can be treated well with therapies like steroids. They also advise parents and caregivers to not take fever in their children lightly as some children who had asymptomatic COVID-19 have also developed MIS-C.

Also Read: COVID-19 Vaccine: AIIMS Delhi Starts Screening Of Children For Covaxin Trials

Anurag Agarwal, Professor, Pediatrics, Maulana Azad Medical College and Lok Nayak Hospital says most children who become infected by COVID-19 have only mild illness, but in children who go on to develop MIS-C, some organs and tissues such as the heart, lungs, blood vessels, kidneys, digestive system, brain, skin or eyes, become severely inflamed.

Any child presenting with three days of fever with signs of at least two organ involvement, for instance, diarrhea, vomiting, breathlessness, fatigue, rashes, conjunctivitis etc, with the history of Covid infection or contact to Covid patient, should report to a doctor immediately for further evaluation. The disease can present with varying severity from mild forms to life-threatening disease. The illness, if diagnosed on time, responds to therapy like steroids, IVIG (Intravenous immunoglobulin), low molecular weight heparin, among others, very well”, he says.

Noting that most major hospitals of Delhi have reported such cases with varying severity, Mr Agarwal says till date mortality has been less in such cases with some patients requiring intensive care and monitoring.

Also Read: Third Wave Of COVID-19 Likely To Attack Children, Vaccinate The Parents Quickly: Dr Devi Shetty Of Narayana Health

At present, social distancing and using masks to avoid Covid infections are the only way of preventing the development of this syndrome, he adds.

Manish Mannan, HOD, Paediatrics & Neonatology, Paras Hospitals Gurugram says it is crucial for parents to identify the problem early.

So if anybody is having high grade fever, they should consult the pediatrician early, preferably on the first or second day. If we diagnose the disease early and intervene early, the treatment needed is less. And the morbidity is also less. The longer you wait, the greater the morbidity, he says.

Dr Mannan also says that there have been instances of children, who were asymptomatic or had mild COVID-19, developing MIS-C.

I have seen so many households wherein the parents have got their tests done, but they left out the child thinking he had mild or no COVID symptoms. The child, however, developed MIS-C in three to four weeks, he says.

Also Read: COVID-19 Infection Not Taken Serious Shape Among Children, Can Impact If Changes Nature: Dr VK Paul

The official says it was recently seen that parents of two children who were admitted in the hospital had no clue when their kids were infected.

But they both had significant symptoms of MIS-C and had to be admitted and treated. Most of the cases of MIS-C can lead to hospital admission so parents should immediately get any fever of their child checked. So every fever in today’s time should be suspected, unless proven otherwise, as prevention is better than cure, he adds.

Sudip Chowdhury, consultant paediatrician, Columbia Asia Hospital, Palam Vihar, Gurgaon also says that MIS-C is on the rise among children.

In the last five days, over 100 cases of multi-organ inflammatory syndrome in children were reported in northern India, of which, more than 50 cases were found in the NCR, he says.

It has also been seen that younger patients have more severe forms of illness as compared to the ones in the first wave of COVID-19, he adds.

Also Read: Singapore Warns New Virus Strains Infecting More Children, Shuts Schools

(Except for the headline, this story has not been edited by NDTV staff and is published from a syndicated feed.)

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World

17,33,05,286Cases

5,84,65,841Active

11,11,10,649Recovered

37,28,796Deaths

Coronavirus has spread to 193 countries. The total confirmed cases worldwide are 17,33,05,286 and 37,28,796 have died; 5,84,65,841 are active cases and 11,11,10,649 have recovered as on June 7, 2021 at 3:39 am.

India

2,89,09,975 1,00,636Cases

14,01,60976,190Active

2,71,59,180 1,74,399Recovered

3,49,186 2,427Deaths

In India, there are 2,89,09,975 confirmed cases including 3,49,186 deaths. The number of active cases is 14,01,609 and 2,71,59,180 have recovered as on June 7, 2021 at 2:30 am.

State Details

State Cases Active Recovered Deaths
Maharashtra

58,31,781 12,557

1,88,384 2,494

55,43,267 14,433

1,00,130 618

Karnataka

26,95,523 12,209

2,54,526 13,770

24,09,417 25,659

31,580 320

Kerala

26,33,082 14,672

1,61,065 6,984

24,62,071 21,429

9,946 227

Tamil Nadu

22,37,233 20,421

2,44,289 13,174

19,65,939 33,161

27,005 434

Andhra Pradesh

17,58,339 8,976

1,23,426 4,682

16,23,447 13,568

11,466 90

Uttar Pradesh

16,98,389 1,037

17,944 1,494

16,59,209 2,446

21,236 85

Delhi

14,29,244 381

5,889 842

13,98,764 1,189

24,591 34

West Bengal

14,26,132 7,002

35,454 8,987

13,74,419 15,882

16,259 107

Chhattisgarh

9,80,575 999

23,280 1,615

9,44,078 2,589

13,217 25

Rajasthan

9,46,346 904

18,575 2,975

9,19,115 3,854

8,656 25

Gujarat

8,16,234 848

18,008 2,079

7,88,293 2,915

9,933 12

Odisha

8,13,096 7,002

70,726 398

7,39,376 7,358

2,994 42

Madhya Pradesh

7,85,196 735

10,103 1,241

7,66,756 1,934

8,337 42

Haryana

7,62,291 654

9,097 877

7,44,482 1,483

8,712 48

Bihar

7,13,117 920

8,708 920

6,99,028 1,799

5,381 41

Telangana

5,91,170 1,436

27,016 2,192

5,60,776 3,614

3,378 14

Punjab

5,79,560 1,563

22,160 2,294

5,42,324 3,790

15,076 67

Assam

4,34,942 2,228

50,865 1,885

3,80,419 4,076

3,658 37

Jharkhand

3,41,218 293

5,686 553

3,30,478 838

5,054 8

Uttarakhand

3,34,024 446

16,125 1,180

3,11,200 1,591

6,699 35

Jammu And Kashmir

3,00,490 1,440

26,741 1,682

2,69,675 3,099

4,074 23

Himachal Pradesh

1,95,099 357

8,361 1,123

1,83,441 1,462

3,297 18

Goa

1,59,393 403

7,154 1,062

1,49,479 1,449

2,760 16

Puducherry

1,09,079 640

8,270 513

99,181 1,138

1,628 15

Chandigarh

60,659 74

833 92

59,054 162

772 4

Tripura

55,469 235

5,921 560

48,984 789

564 6

Manipur

55,230 823

9,184 168

45,165 646

881 9

Meghalaya

38,718 488

5,583 214

32,471 690

664 12

Arunachal Pradesh

29,336 223

3,593 160

25,618 381

125 2

Nagaland

22,773 77

4,732 87

17,615 160

426 4

Ladakh

19,197 50

1,089 81

17,913 131

195

Sikkim

17,111 340

4,306 88

12,532 247

273 5

Mizoram

13,679 112

3,279 84

10,345 194

55 2

Dadra And Nagar Haveli

10,394 7

129 7

10,261

4

Lakshadweep

8,737 70

1,005 155

7,694 225

38

Andaman And Nicobar Islands

7,119 14

103 4

6,894 18

122





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