Abstract

LOPEZ, Alejandra et al. Multsystemic Inflammatory Syndrome in post-Covid children. Clinical case studies in Montevideo, Uruguay, 2020-2021. Arch. Pediatr. Urug. [online]. 2023, vol.94, n.2, e216.  Epub Dec 01, 2023. ISSN 0004-0584.  https://doi.org/10.31134/ap.94.2.9.

The Multisystem Inflammatory Syndrome associated with COVID-19 is a postinfectious presentation, which can be particularly serious, and can produce severe multiorgan dysfunction. A report of 6 clinical cases, assisted in the Comprehensive Medical Service, Montevideo-Uruguay, is presented in order to expose the clinical and paraclinical characteristics of this new syndrome, and their clinical evolution. A descriptive observational study was carried out. The mean age was 6 years, with a predominance of females. These patients had a mild to moderate clinical presentation, with good evolution. The main clinical manifestations were: fever, gastrointestinal and mucocutaneous involvement, and ocular involvement; two of these patients had cardiovascular compromise. All had alterations in the paraclinical, standing out elevated acute phase reactants. All patients received intravenous immunoglobulin and corticosteroids, three of them received low molecular weight heparin with a value of D-dimers 5 times higher than the reference value. We do not rule out the impact of early diagnosis and treatment on the positive evolution of these children.

Keywords : Systemic Inflammatory Response Syndrome; COVID-19; SARS-CoV-2; Kawasaki disease; Child.

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