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

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

NDTV – Dettol Banega Swasth India campaign is an extension of the five-year-old Banega Swachh India initiative helmed by Campaign Ambassador Amitabh Bachchan. It aims to spread awareness about critical health issues facing the country. In wake of the current COVID-19 pandemic, the need for WASH (WaterSanitation and Hygiene) is reaffirmed as handwashing is one of the ways to prevent Coronavirus infection and other diseases. The campaign highlights the importance of nutrition and healthcare for women and children to prevent maternal and child mortality, fight malnutrition, stunting, wasting, anaemia and disease prevention through vaccines. Importance of programmes like Public Distribution System (PDS), Mid-day Meal Scheme, POSHAN Abhiyan and the role of Aganwadis and ASHA workers are also covered. Only a Swachh or clean India where toilets are used and open defecation free (ODF) status achieved as part of the Swachh Bharat Abhiyan launched by Prime Minister Narendra Modi in 2014, can eradicate diseases like diahorrea and become a Swasth or healthy India. The campaign will continue to cover issues like air pollutionwaste managementplastic banmanual scavenging and sanitation workers and menstrual hygiene

World

19,66,15,634Cases
6,33,31,644Active
12,90,85,240Recovered
41,98,750Deaths
Coronavirus has spread to 194 countries. The total confirmed cases worldwide are 19,66,15,634 and 41,98,750 have died; 6,33,31,644 are active cases and 12,90,85,240 have recovered as on July 30, 2021 at 4:07 am.

India

3,15,72,344 44,230Cases
4,05,155 1,315Active
3,07,43,972 42,360Recovered
4,23,217 555Deaths
In India, there are 3,15,72,344 confirmed cases including 4,23,217 deaths. The number of active cases is 4,05,155 and 3,07,43,972 have recovered as on July 30, 2021 at 2:30 am.

State Details

State Cases Active Recovered Deaths
Maharashtra

62,90,156 7,242

81,933 3,980

60,75,888 11,032

1,32,335 190

Kerala

33,49,365 22,064

1,55,327 5,287

31,77,453 16,649

16,585 128

Karnataka

29,01,247 2,052

23,277 685

28,41,479 1,332

36,491 35

Tamil Nadu

25,55,664 1,859

21,207 314

25,00,434 2,145

34,023 28

Andhra Pradesh

19,62,049 2,107

21,279 280

19,27,438 1,807

13,332 20

Uttar Pradesh

17,08,373 60

784 16

16,84,834 44

22,755

West Bengal

15,26,539 766

11,300 70

14,97,116 822

18,123 14

Delhi

14,36,144 51

554 19

14,10,541 70

25,049

Chhattisgarh

10,01,781 130

2,086 140

9,86,175 270

13,520

Odisha

9,74,132 1,615

15,276 489

9,53,088 2,039

5,768 65

Rajasthan

9,53,622 17

259 9

9,44,410 26

8,953

Gujarat

8,24,829 27

268 6

8,14,485 33

10,076

Madhya Pradesh

7,91,796 18

130 0

7,81,153 18

10,513

Haryana

7,69,858 30

712 10

7,59,516 17

9,630 3

Bihar

7,24,719 46

481 1

7,14,596 42

9,642 3

Telangana

6,43,716 623

9,188 126

6,30,732 746

3,796 3

Punjab

5,99,005 58

553 6

5,82,162 60

16,290 4

Assam

5,64,030 1,299

14,114 385

5,44,695 1,664

5,221 20

Jharkhand

3,47,105 56

259 22

3,41,720 34

5,126

Uttarakhand

3,41,982 48

669 3

3,33,952 51

7,361

Jammu And Kashmir

3,21,207 181

1,144 5

3,15,686 175

4,377 1

Himachal Pradesh

2,05,728 229

1,098 145

2,01,110 84

3,520

Goa

1,70,900 90

1,077 5

1,66,679 93

3,144 2

Puducherry

1,20,725 98

972 49

1,17,961 49

1,792

Manipur

96,824 1,000

10,895 27

84,408 1,016

1,521 11

Tripura

78,059 271

3,640 221

73,665 488

754 4

Meghalaya

63,745 731

5,750 294

56,933 423

1,062 14

Chandigarh

61,948 5

37 1

61,102 4

809

Arunachal Pradesh

47,477 335

4,252 49

43,000 383

225 1

Mizoram

37,171 764

11,862 252

25,168 511

141 1

Nagaland

27,653 67

1,299 51

25,798 114

556 4

Sikkim

26,132 276

3,297 180

22,498 92

337 4

Ladakh

20,324 4

60 4

20,057 8

207

Dadra And Nagar Haveli

10,643 1

36 5

10,603 6

4

Lakshadweep

10,162 7

70 6

10,042 13

50

Andaman And Nicobar Islands

7,534 3

10 3

7,395

129

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