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

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

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

26,78,24,983Cases
22,84,48,447Active
3,40,97,388Recovered
52,79,148Deaths
Coronavirus has spread to 196 countries. The total confirmed cases worldwide are 26,78,24,983 and 52,79,148 have died; 22,84,48,447 are active cases and 3,40,97,388 have recovered as on December 9, 2021 at 3:47 am.

India

3,46,66,241 9,419Cases
94,742 1,009Active
3,40,97,388 8,251Recovered
4,74,111 159Deaths
In India, there are 3,46,66,241 confirmed cases including 4,74,111 deaths. The number of active cases is 94,742 and 3,40,97,388 have recovered as on December 9, 2021 at 2:30 am.

State Details

State Cases Active Recovered Deaths
Maharashtra

66,40,888 893

9,964 157

64,89,720 1,040

1,41,204 10

Kerala

51,78,892 5,038

41,615 887

50,95,263 4,039

42,014 112

Karnataka

29,99,098 399

7,284 155

29,53,565 238

38,249 6

Tamil Nadu

27,32,648 703

7,946 36

26,88,142 728

36,560 11

Andhra Pradesh

20,74,217 181

2,011 3

20,57,749 176

14,457 2

Uttar Pradesh

17,10,502 10

139 7

16,87,452 3

22,911

West Bengal

16,20,803 574

7,576 0

15,93,659 568

19,568 6

Delhi

14,41,514 65

404 28

14,16,010 36

25,100 1

Odisha

10,50,760 255

1,931 11

10,40,403 264

8,426 2

Chhattisgarh

10,07,075 37

341 9

9,93,140 27

13,594 1

Rajasthan

9,54,984 40

236 16

9,45,792 24

8,956

Gujarat

8,27,873 67

417 45

8,17,361 22

10,095

Madhya Pradesh

7,93,288 14

140 1

7,82,619 13

10,529

Haryana

7,71,904 29

223 15

7,61,626 14

10,055

Bihar

7,26,259 9

36 6

7,14,133 3

12,090

Telangana

6,77,546 205

3,871 19

6,69,673 185

4,002 1

Assam

6,18,042 134

2,541 24

6,09,374 158

6,127

Punjab

6,03,578 22

350 0

5,86,614 20

16,614 2

Jharkhand

3,49,383 16

129 7

3,44,113 23

5,141

Uttarakhand

3,44,402 17

192 3

3,36,799 14

7,411

Jammu And Kashmir

3,38,198 151

1,639 38

3,32,070 111

4,489 2

Himachal Pradesh

2,27,753 69

722 14

2,23,174 81

3,857 2

Goa

1,79,307 65

441 37

1,75,478 28

3,388

Mizoram

1,37,377 320

3,049 10

1,33,819 309

509 1

Puducherry

1,29,128 23

230 1

1,27,022 22

1,876

Manipur

1,25,429 23

325 5

1,23,119 28

1,985

Tripura

84,888 14

94 11

83,968 3

826

Meghalaya

84,631 12

240 11

82,916 23

1,475

Chandigarh

65,515 7

67 2

64,628 5

820

Arunachal Pradesh

55,298 3

29 2

54,989 5

280

Sikkim

32,390 8

200 2

31,785 6

405

Nagaland

32,143 1

116 2

31,328 3

699

Ladakh

21,749 14

230 17

21,304 31

215

Dadra And Nagar Haveli

10,683

0 0

10,679

4

Lakshadweep

10,405

11 0

10,343

51

Andaman And Nicobar Islands

7,691 1

3 0

7,559 1

129

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