MIS-C: Some children’s hospitals are seeing an increase in rare Covid-19 complications

MIS-C: Some children’s hospitals are seeing an increase in rare Covid-19 complications

He had no sore throat or a cough. Covid-19 tests came negative twice.

Then a low-grade fever crept to 104.4.

She said, “That’s when I learned that something was really wrong.” “Some children get these types of fevers, and my kids never get it.”

Doctors don’t know why this is. Babies often get Covid-19 first, but not always. The new Coronavirus does not do that It usually causes serious illness In children, but for those few children who develop MIS-C, the condition appears to cause inflammation in different parts of the body, and it can be dangerous.
What doctors know is that many children’s hospitals across the country have reported seeing more cases in the past few months, although MIS-C is considered rare.

In an update released on Friday, the U.S. Centers for Disease Control and Prevention He said there were 2,617 MIS-C cases in the United States prior to March 1, and 33 children had died. This is higher than in early February, when 2,060 cases and 30 deaths were reported.

‘The bags scared me’

In February, when her son was sick, Dunn looked at MIS-C Online. Many of her son’s symptoms matched.

The CDC advises parents or caregivers to call a doctor immediately if children have a fever, abdominal pain, vomiting, diarrhea, neck pain, a rash, eye congestion with blood, or excessive fatigue.

Nolan Dunn fell ill with MIS-C in February.  It was part of the increase in the number of cases seen in children's hospitals across the country.

Nolan’s stomach hurts to the touch. His lips were cracked. His tongue was swollen, and by the time they got back to the pediatrician’s office, his eyes had turned bright red.

The pediatrician took one look at him, asked her to leave her office and drive straight to the Anne and Robert H. Lowry Children’s Hospital in Chicago.

She said, “The bags scared me.”

When they got to the hospital, she asked Nolan to read the sign telling them where the valet parking was. He said he could not. Everything was blurry.

“He has a perfect vision,” Dunn said. “I said to him, ‘Hey boy, you really are falling apart. ”

Nolan said the hospital had run a lot of checks.

“I had all the symptoms you could think of,” Nolan said. “I was given an IV and I was feeling tired and in pain. My whole body felt tight all over. I really don’t know how to explain that or define precisely a unique feeling.”

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Doctors were able to identify the problem and decide it was MIS-C. They treated him with a drop of immunoglobulin for 10 hours and they started taking a steroid.

“By the next morning it was noticeably better,” Dunn said.

The CDC said more than half of the reported MIS-C cases, 59%, were in males and most were in children and teens ages 1 to 14. Nolan is 13 years old.

MIS-C also disproportionately affected children of color. In its most recent update, the CDC said that 66% of the reported cases are of Hispanic children, 842 cases, or non-Hispanics, 746 cases.

The sudden increases in MIS-C follow the spikes of Covid-19

In the past few months, many children’s hospitals, not just Chicago hospitals, have seen more cases than they did earlier in the pandemic.

“In January, we just saw a large number. We saw one a day,” said Dr. Roberta DeBacy, chief of pediatrics at the National Institute for Research in Children in Washington, DC. “Then in February, we were on the right track for that or more. Some days we have two and three cases.”

DiBase believes that a sudden increase is not due to a spike in variables or any other phenomenon.

A spike in MIS-C is usually followed by a spike in Covid-19 cases.

The first cases of MERS-CoV-related inflammatory syndrome in children were identified in South Carolina

The MIS-C multidisciplinary committee at its hospital noticed this trend, and as soon as they saw the sudden spike in Covid-19 cases over the holiday period, prepare for the babies who knew they would soon come in four to six weeks.

“You can set your calendar on it,” said DiBase.

Perhaps because it’s so rare, some pediatricians – and the parents who come to them for help – don’t know exactly what they’re seeing. This was especially true at the start of the pandemic.

Kyree McBride contracted MIS-C in May, early in the epidemic.

Tammie Hairston’s son, Kyree McBride, developed a stomach ache last May.

“At the time, I hadn’t heard of MIS-C,” Hairston said.

At first, she and a few different doctors, including those in the emergency room, thought it was a routine stomach virus.

Even with Tylenol and Motrin, she said, Kerry’s fever will not go away.

“Immediately, I got into a panic,” said Hayrston. “My son never got sick.”

When Hairston had to return to the store to get a second bottle of Tylenol and Motrin, she became even more anxious. In addition to the fever, he fell very lethargic, but could not sleep. His heart was racing. His eyes began to turn red.

When a friend called her to tell her a story she saw on Newsletter About MIS-C, Hairston asked her son to hurry up and dress up. They were heading to the hospital.

At Children’s National, doctors confirmed Kyree has an MIS-C. His test result was not positive for Covid-19, but the tests revealed antibodies, indicating a previous infection. Tests also showed that Kerry had an infection in his heart.

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“It was terrifying,” said Hayrston. “But you just have to be a mother and you have to be strong for him.”

She said that their family and friends prayed that he would get better.

The CDC does not know if the new Covid-19 variants cause rare complications in children

“We didn’t really know what to expect,” said Hayrston. “He is a child. He is my child.”

Fortunately, the infusion is for 12 hours Immune system He worked, and apart from a few follow-up appointments with a cardiologist, he is back cycling and playing basketball in the park. However, the experience shook Hurston, who wondered why her son had this rare disease.

Hairston asks: “I have family members who have contracted Covid, along with grandchildren, and young ones, and I just wonder why none of them got MIS-C, but my son did.” “Not that I wish this to any child.”

Scientists also want to know. National Institutes of Health Advertise Tuesday it will launch a new effort to support MIS-C research.

Hairston joined Kyree in another study, hoping other parents wouldn’t have to wonder why their child had MIS-C. Maybe what they could learn from Kyree meant they wouldn’t get it in the first place.

Life After MIS-C

Twelve-year-old Caden Hendrix and his oldest son contracted Covid-19 in November. About four weeks into the next day, Kaden complained of a stiff neck, stomach pain, and a high temperature.
Maylan Hendrix took his son to Cincinnati Children’s Hospital, where he spent 12 days.

Caden Hendricks fell ill from MIS-C over Christmas.  His basketball team wore & quot;  Caden Strong & quot;  Shirts in his honor.

“One of the things that makes this disease really scary is that you don’t know exactly what’s going on and what’s causing the problem,” Hendrix said.

Caden recovered. However, doctors are still unsure of what recovery means and what long-standing MIS-C problems, if any, might bring.

The study was published Friday in Gamma Neurology He said neurological symptoms are common among hospitalized children due to Covid-19 or MIS-C; Although symptoms resolve for most patients, some have developed life-threatening conditions. A study published in March encourages clinicians to follow up with these patients to ensure there are no cognitive, developmental or physical problems.

Cincinnati Children’s is registering patients for a large NIH trial attempting to understand the long-term effects of severe Covid-19 virus on children.

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Grant: “Most of our children recover well, but we don’t know if this has long-term effects, especially on the heart. This is what matters most to us and we want to understand it.” Said Schuylert, a pediatric rheumatologist at Cincinnati Children’s Hospital.

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The hospital asked Kaden to return within six months to make an appointment for a heart disease. He also needs to follow up with an ophthalmologist to make sure there is no long-term damage to his eyes.

Most babies seem to do well after undergoing MIS-C. Although he made Cadden miss the basketball season, his team gave him the play ball and wore the “Cadden Strong” jerseys in his honor. Hendrix said he would be allowed to play basketball in the spring.

“He is recovering and that is all we can hope for,” he said.

A study has found that the transmission of the coronavirus in schools can be reduced if children are hidden

Dr. Sam Dominguez said that his hospital, Children’s Hospital of Colorado, also saw a “significant increase” in cases from December to February. It is part of a multicenter study that will follow patients for up to a year to ensure that there are no long-term complications from MIS-C.

“The children we see are very sick and about half to two-thirds of them need our intensive care unit,” Dominguez said. “Fortunately, most of our children do very well with aggressive treatment.”

While MIS-C is still relatively rare, Dr Larry Kociolek, Associate Medical Director for Infection Prevention and Control at Lurie Children’s Hospital in Chicago, hopes parents are in the hunt for MIS-C.

Even better, he said, he hopes parents will help their children avoid exposure to Covid-19: Make sure children wear a mask that works for them, wash hands frequently, and maintain proper physical distance.

“I think all children are in danger,” Kosiulik said. “As with every aspect of this epidemic, people cannot feel at ease.”

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