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10.1016/j.lanepe.2021.100075

http://scihub22266oqcxt.onion/10.1016/j.lanepe.2021.100075
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suck abstract from ncbi


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pmid34027512      Lancet+Reg+Health+Eur 2021 ; 3 (ä): 100075
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  • Paediatric multisystem inflammatory syndrome temporally associated with SARS-CoV-2 (PIMS-TS): Prospective, national surveillance, United Kingdom and Ireland, 2020 #MMPMID34027512
  • Flood J; Shingleton J; Bennett E; Walker B; Amin-Chowdhury Z; Oligbu G; Avis J; Lynn RM; Davis P; Bharucha T; Pain CE; Jyothish D; Whittaker E; Dwarakanathan B; Wood R; Williams C; Swann O; Semple MG; Ramsay ME; Jones CE; Ramanan AV; Gent N; Ladhani SN
  • Lancet Reg Health Eur 2021[Apr]; 3 (ä): 100075 PMID34027512show ga
  • BACKGROUND: Paediatric Multisystem Inflammatory Syndrome temporally associated with SARS-CoV-2 (PIMS-TS), first identified in April 2020, shares features of both Kawasaki disease (KD) and toxic shock syndrome (TSS). The surveillance describes the epidemiology and clinical characteristics of PIMS-TS in the United Kingdom and Ireland. METHODS: Public Health England initiated prospective national surveillance of PIMS-TS through the British Paediatric Surveillance Unit. Paediatricians were contacted monthly to report PIMS-TS, KD and TSS cases electronically and complete a detailed clinical questionnaire. Cases with symptom onset between 01 March and 15 June 2020 were included. FINDINGS: There were 216 cases with features of PIMS-TS alone, 13 with features of both PIMS-TS and KD, 28 with features of PIMS-TS and TSS and 11 with features of PIMS-TS, KD and TSS, with differences in age, ethnicity, clinical presentation and disease severity between the phenotypic groups. There was a strong geographical and temporal association between SARS-CoV-2 infection rates and PIMS-TS cases. Of those tested, 14.8% (39/264) children had a positive SARS-CoV-2 RT-PCR, and 63.6% (75/118) were positive for SARS-CoV-2 antibodies. In total 44.0% (118/268) required intensive care, which was more common in cases with a TSS phenotype. Three of five children with cardiac arrest had TSS phenotype. Three children (1.1%) died. INTERPRETATION: The strong association between SARS-CoV-2 infection and PIMS-TS emphasises the importance of maintaining low community infection rates to reduce the risk of this rare but severe complication in children and adolescents. Close follow-up will be important to monitor long-term complications in children with PIMS-TS. FUNDING: PHE.
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