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10.1016/j.jped.2020.10.008

http://scihub22266oqcxt.onion/10.1016/j.jped.2020.10.008
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33186512!7649656!33186512
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suck abstract from ncbi


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pmid33186512      J+Pediatr+(Rio+J) 2021 ; 97 (3): 354-361
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  • Multisystem inflammatory syndrome in children (MIS-C) during SARS-CoV-2 pandemic in Brazil: a multicenter, prospective cohort study #MMPMID33186512
  • Lima-Setta F; Magalhaes-Barbosa MC; Rodrigues-Santos G; Figueiredo EADN; Jacques ML; Zeitel RS; Sapolnik R; Borges CTDS; Lanziotti VS; Castro REV; Bellinat APN; Silva TPD; Oliveira FRC; Reis BCSD; Castro NAASR; Macedo JHGC; Scarlato ACCP; Riveiro PM; Mota ICFD; Lorenzo VB; Lucena NML; Azevedo ZMA; Cunha AJLA; Prata-Barbosa A
  • J Pediatr (Rio J) 2021[May]; 97 (3): 354-361 PMID33186512show ga
  • OBJECTIVE: To describe the clinical, laboratory, and radiological characteristics, as well as the outcomes of children with MIS-C. METHOD: Multicenter, prospective cohort study, conducted in 17 pediatric intensive care units in five states in Brazil, from March to July 2020. Patients from 1 month to 19 years who met the MIS-C diagnostic criteria were included consecutively. RESULTS: Fifty-six patients were included, with the following conditions: Kawasaki-like disease (n?=?26), incomplete Kawasaki disease (n?=?16), acute cardiac dysfunction (n?=?10), toxic shock syndrome (n?=?3), and macrophage activation syndrome (n?=?1). Median age was 6.2 years (IQR 2.4-10.3), 70% were boys, 59% were non-whites, 20% had comorbidities, 48% reported a contact with COVID-19 cases, and 55% had a recent SARS-CoV-2 infection confirmed by RT-PCR and/or serology. Gastrointestinal symptoms were present in 71%, shock symptoms in 59%, and severe respiratory symptoms in less than 20%. d-Dimer was increased in 80% and cardiac dysfunction markers in more than 75%. Treatment included immunoglobulin (89%); corticosteroids, antibiotics, and enoxaparin in about 50%; and oseltamivir and antifungal therapy in less than 10%. Only 11% needed invasive mechanical ventilation, with a median duration of five days (IQR 5-6.5). The median length of PICU stay was six days (IQR 5-11), and one death occurred (1.8%). CONCLUSIONS: Most characteristics of the present MIS-C patients were similar to that of other cohorts. The present results may contribute to a broader understanding of SARS-CoV-2 infection in children and its short-term consequences. Long-term multidisciplinary follow-up is needed, since it is not known whether these patients will have chronic cardiac impairment or other sequelae.
  • |*COVID-19[MESH]
  • |Brazil/epidemiology[MESH]
  • |Child[MESH]
  • |Humans[MESH]
  • |Male[MESH]
  • |Pandemics[MESH]
  • |Prospective Studies[MESH]
  • |SARS-CoV-2[MESH]


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