Diagnosis and Treatment of Multisystem Inflammatory Syndrome Following COVID-19 in Children

Multisystem Inflammatory Syndrome in Children (MIS-C) is recognized as a life threatening complication of Coronavirus disease (COVID-19) in children which can affect major systems such as cardiovascular, respiratory, blood and coagulation, renal, and nervous system. Mild cases of MIS-C can be follow...

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Main Authors: Leila Shahbaznejad, Azin Hajialibeig, Mohammad Reza Navaeifar, Zahra Doorandish, Mohammad Sadegh Rezai
Format: Article
Language:English
Published: Mazandaran University of Medical Sciences 2021-09-01
Series:Journal of Mazandaran University of Medical Sciences
Subjects:
Online Access:http://jmums.mazums.ac.ir/article-1-17103-en.html
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author Leila Shahbaznejad
Azin Hajialibeig
Mohammad Reza Navaeifar
Zahra Doorandish
Mohammad Sadegh Rezai
author_facet Leila Shahbaznejad
Azin Hajialibeig
Mohammad Reza Navaeifar
Zahra Doorandish
Mohammad Sadegh Rezai
author_sort Leila Shahbaznejad
collection DOAJ
description Multisystem Inflammatory Syndrome in Children (MIS-C) is recognized as a life threatening complication of Coronavirus disease (COVID-19) in children which can affect major systems such as cardiovascular, respiratory, blood and coagulation, renal, and nervous system. Mild cases of MIS-C can be followed up closely, but, severe illnesses that require hospitalization or pediatric intensive care are also common. Treatment of these patients includes supportive measures to improve the function of vital organs such as the heart and arteries, respiration, and kidneys. Antiviral therapy is recommended in patients with clear involvement of the respiratory system. Treatment with empirical antibiotics and drugs effective in suppressing or modulating the immune system such as steroids in various doses, intravenous immunoglobulins, biologic drugs, anticoagulants, and antiplatelets are recommended. In case of shock or decreased cardiac function, vasopressor drugs are suggested along with supportive measures to maintain tissue perfusions such as albumin and compressed red blood cells. Timely diagnosis and appropriate treatments improve the patient's condition and evaluation of long-term complications of this disease should be done.
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spelling doaj.art-1923daa6b19d4ef1bbec8a9d0bbd08332023-01-08T07:53:34ZengMazandaran University of Medical SciencesJournal of Mazandaran University of Medical Sciences1735-92601735-92792021-09-0131200173186Diagnosis and Treatment of Multisystem Inflammatory Syndrome Following COVID-19 in ChildrenLeila Shahbaznejad0Azin Hajialibeig1Mohammad Reza Navaeifar2Zahra Doorandish3Mohammad Sadegh Rezai4 Assistant Profesor, Pediatric Infectious Diseases Research Center, Communicable Diseases Institute, Mazandaran University of Medical Sciences, Sari, Iran Pediatrician, Pediatric Infectious Diseases Research Center, Communicable Diseases Institute, Mazandaran University of Medical Sciences, Sari, Iran Assistant Profesor, Pediatric Infectious Diseases Research Center, Communicable Diseases Institute, Mazandaran University of Medical Sciences, Sari, Iran Pediatric Resident, Student Research Committee, Mazandaran University of Medical Sciences, Sari, Iran Profesor, Pediatric Infectious Diseases Research Center, Communicable Diseases Institute, Mazandaran University of Medical Sciences, Sari, Iran Multisystem Inflammatory Syndrome in Children (MIS-C) is recognized as a life threatening complication of Coronavirus disease (COVID-19) in children which can affect major systems such as cardiovascular, respiratory, blood and coagulation, renal, and nervous system. Mild cases of MIS-C can be followed up closely, but, severe illnesses that require hospitalization or pediatric intensive care are also common. Treatment of these patients includes supportive measures to improve the function of vital organs such as the heart and arteries, respiration, and kidneys. Antiviral therapy is recommended in patients with clear involvement of the respiratory system. Treatment with empirical antibiotics and drugs effective in suppressing or modulating the immune system such as steroids in various doses, intravenous immunoglobulins, biologic drugs, anticoagulants, and antiplatelets are recommended. In case of shock or decreased cardiac function, vasopressor drugs are suggested along with supportive measures to maintain tissue perfusions such as albumin and compressed red blood cells. Timely diagnosis and appropriate treatments improve the patient's condition and evaluation of long-term complications of this disease should be done.http://jmums.mazums.ac.ir/article-1-17103-en.htmlcovid-19multi-system inflammatory syndrome in childrensteroids
spellingShingle Leila Shahbaznejad
Azin Hajialibeig
Mohammad Reza Navaeifar
Zahra Doorandish
Mohammad Sadegh Rezai
Diagnosis and Treatment of Multisystem Inflammatory Syndrome Following COVID-19 in Children
Journal of Mazandaran University of Medical Sciences
covid-19
multi-system inflammatory syndrome in children
steroids
title Diagnosis and Treatment of Multisystem Inflammatory Syndrome Following COVID-19 in Children
title_full Diagnosis and Treatment of Multisystem Inflammatory Syndrome Following COVID-19 in Children
title_fullStr Diagnosis and Treatment of Multisystem Inflammatory Syndrome Following COVID-19 in Children
title_full_unstemmed Diagnosis and Treatment of Multisystem Inflammatory Syndrome Following COVID-19 in Children
title_short Diagnosis and Treatment of Multisystem Inflammatory Syndrome Following COVID-19 in Children
title_sort diagnosis and treatment of multisystem inflammatory syndrome following covid 19 in children
topic covid-19
multi-system inflammatory syndrome in children
steroids
url http://jmums.mazums.ac.ir/article-1-17103-en.html
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AT azinhajialibeig diagnosisandtreatmentofmultisysteminflammatorysyndromefollowingcovid19inchildren
AT mohammadrezanavaeifar diagnosisandtreatmentofmultisysteminflammatorysyndromefollowingcovid19inchildren
AT zahradoorandish diagnosisandtreatmentofmultisysteminflammatorysyndromefollowingcovid19inchildren
AT mohammadsadeghrezai diagnosisandtreatmentofmultisysteminflammatorysyndromefollowingcovid19inchildren