Pediatric inflammatory multisystem syndrome associated with COVID-19: A report of 10 cases in a Peruvian hospital.

Autor: Luna-Muñoz C; Servicio de Emergencia Pediátrica, Hospital Nacional Edgardo Rebagliati Martins, Lima, Perú; Instituto de Investigación en Ciencias Biomédicas, Universidad Ricardo Palma, Lima, Perú. Dirección: Av. Edgardo Rebagliati #490, Jesús María 15072, Lima, Perú. Email: lunaconsuelo21@gmail.com. ORCID: 0000-0001-9205-2745., Reyes-Florian G; Servicio de Emergencia Pediátrica, Hospital Nacional Edgardo Rebagliati Martins, Lima, Perú. ORCID: 0000-0003-4855-9033., Seminario-Aliaga M; Servicio de Emergencia Pediátrica, Hospital Nacional Edgardo Rebagliati Martins, Lima, Perú. ORCID: 0000-0003-3131-4881., Stapleton-Herbozo A; Servicio de Emergencia Pediátrica, Hospital Nacional Edgardo Rebagliati Martins, Lima, Perú. ORCID: 0000-0002-8019-6247., Correa-López LE; Instituto de Investigación en Ciencias Biomédicas, Universidad Ricardo Palma, Lima, Perú. ORCID: 0000-0001-7892-4391., Quiñones-Laveriano DM; Instituto de Investigación en Ciencias Biomédicas, Universidad Ricardo Palma, Lima, Perú. ORCID: 0000-0002-1129-1427.
Jazyk: English; Spanish; Castilian
Zdroj: Medwave [Medwave] 2021 Mar 30; Vol. 21 (2), pp. e8142. Date of Electronic Publication: 2021 Mar 30.
DOI: 10.5867/medwave.2021.02.8142
Abstrakt: Pediatric inflammatory multisystem syndrome temporally associated with COVID-19 is a potentially severe and rare condition that still needs a better understanding to guide its management. Reports worldwide, and especially in Latin America, are still scarce. This report presents ten cases of pediatric inflammatory multisystem syndrome temporally associated with COVID-19 in children between 2 and 12 years old treated in a Peruvian hospital, diagnosed using the Centers for Disease Control and Prevention criteria. Severe acute respiratory syndrome coronavirus 2 was detected through serological tests (immunoglobulin M or G). Most had gastrointestinal symptoms. Therapeutics consisted mainly of intravenous immunoglobulin, corticosteroids, ivermectin, hydroxychloroquine, digoxin, and antibiotic therapy. Three patients underwent mechanical ventilation; no mortality occurred in this case series. In conclusion, the manifestations presented here are similar to those reported in the literature. A timely diagnosis is necessary for proper management.
Databáze: MEDLINE