Thursday, June 4, 2020

Multisystem Inflammatory Syndrome (MIS-C)

Multisystem Inflammatory Syndrome is a new health condition appearing in children. Some doctors think the condition is related to having COVID-19, but the connection is still not clear. Although some doctors think it could be related to COVID-19, MIS-C itself is not contagious. MIS-C is a rare condition.

But COVID-19 is very contagious and maybe related to MIS-C.

This is a link to US, CDC's advise on MIS-C

For Parents: Multisystem Inflammatory Syndrome in Children (MIS-C) associated with COVID-19

Many children with MIS-C had the virus that causes COVID-19, or had been around someone with COVID-19.

The important points are,

"
Contact your child’s doctor, nurse, or clinic right away if your child is showing symptoms of MIS-C:

Fever
Abdominal pain
Vomiting
Diarrhea
Neck pain
Rash
Bloodshot eyes
Feeling extra tired

Be aware that not all children will have all the same symptoms.

Seek emergency care right away if your child is showing any of these emergency warning signs of MIS-C or other concerning signs:

Trouble breathing
Pain or pressure in the chest that does not go away
New confusion
Inability to wake or stay awake
Bluish lips or face
Severe abdominal pain

"

Given that COVID-19 is going asymptomatic in some infected patients,  MIS-C could be another path that the disease take instead of causing immediate SARS, and that MIS-C occurring in adults is just around the corner.

If you decide to reopen school, watch for MIS-C,  the child could be asymptomatic with a COVID-19 infection still.  This last statement and the notion that recovered COVID-19 patients developing MIS-C later are totally unqualified.  But still, complications resulting from COVID-19 looks strangely like MIS-C.  From this article,

Deadly illness in children linked to COVID-19 confirmed in Austin hospital, more cases suspected

“MIS-C is a condition where different body parts can become inflamed, including the heart, lungs, kidneys, brain, skin, eyes or gastrointestinal organs, according to the CDC.”

It is too easy to attribute such inflammations to preexisting conditions.

Don't Panic.