Multisystem Inflammatory Syndrome Associated With Coronavirus Disease in Children: A Multi-centered Study in Belém, Pará, Brazil

Pediatr Infect Dis J. 2020 Nov;39(11):e374-e376. doi: 10.1097/INF.0000000000002865.

Abstract

We described the characteristics of 11 children with pediatric multisystem inflammatory syndrome-temporally associated with SARS-CoV-2. The main clinical indications for hospital admission were vasogenic toxic shock (n = 2), Kawasaki disease (n = 4), and Kawasaki disease shock syndrome (n = 5). The echocardiography findings were abnormal in 63% of cases. All patients had 2 or more organ dysfunctions, and the mortality rate was 18%.

Publication types

  • Multicenter Study
  • Observational Study

MeSH terms

  • Adolescent
  • Betacoronavirus / isolation & purification
  • Brazil / epidemiology
  • COVID-19
  • Child
  • Child, Preschool
  • Coronavirus Infections / diagnosis
  • Coronavirus Infections / mortality
  • Coronavirus Infections / physiopathology*
  • Coronavirus Infections / virology
  • Female
  • Humans
  • Infant
  • Infant, Newborn
  • Male
  • Mortality
  • Mucocutaneous Lymph Node Syndrome / diagnosis
  • Mucocutaneous Lymph Node Syndrome / mortality
  • Mucocutaneous Lymph Node Syndrome / physiopathology
  • Pandemics
  • Pneumonia, Viral / diagnosis
  • Pneumonia, Viral / mortality
  • Pneumonia, Viral / physiopathology*
  • Pneumonia, Viral / virology
  • Prospective Studies
  • SARS-CoV-2
  • Systemic Inflammatory Response Syndrome / diagnosis
  • Systemic Inflammatory Response Syndrome / mortality
  • Systemic Inflammatory Response Syndrome / physiopathology
  • Systemic Inflammatory Response Syndrome / virology*

Supplementary concepts

  • pediatric multisystem inflammatory disease, COVID-19 related