Статья

New coronavirus infection as trigger factor for multisystem inflammatory syndrome in children: Literature review and analysis of original data

S. Rodionovskaya, L. Mazankova, I. Osmanov, E. Samitova, M. Antsupova, V. Koroid, E. Kaurova,
2020

The article presents data on the epidemiology, pathogenesis, features of clinical manifestations and diagnosis of multisystem inflammatory syndrome in children (MIS-C) associated with a new coronavirus infection. Objective of the research: to identify clinical manifestations and results of laboratory and instrumental examination of pediatric patients with confirmed MIS-C caused by a new coronavirus infection, the most characteristic features of this pathology and to analyze the amount of therapy based on the assessment of epidemiological data. Results: median age – 8 years (6; 9,5), median duration of the disease at the time of hospitalization – 6 days (3; 6). A positive result of SARS-CoV-2 analysis in rhinopharyngeal swabs by PCR was in 3 patients, antibodies to SARS-CoV-2 by ELISA were detected in 10. Clinical manifestations included prolonged febrile fever in 11 patients, gastrointestinal symptoms of varying severity – in 10, polymorphic rash was noted in 7 cases, conjunctivitis/scleritis – in 7, edema of the eyelids, face, extremities – in 4. CNS lesion manifested itself with general cerebral and meningeal symptoms. All patients had an increase in the level of inflammation laboratory markers. In 2 children chest MSCT revealed characteristic changes for SARS-CoV-2, interpreted as CT 3–4. Therapy included intravenous immunoglobulin infusions, systemic glucocorticoids, antiviral and antibacterial drugs, anticoagulants; two patients received tocilizumab infusions.

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Версии

  • 1. Version of Record от 2020-11-01

Метаданные

Об авторах
  • S. Rodionovskaya
    Z.A. Bashlyaeva Children City Clinical Hospital, Federal Biomedical Agency Russia
  • L. Mazankova
    Russian Medical Academy of Continuous Professional Education
  • I. Osmanov
    Z.A. Bashlyaeva Children City Clinical Hospital
  • E. Samitova
    Z.A. Bashlyaeva Children City Clinical Hospital, Russian Medical Academy of Continuous Professional Education
  • M. Antsupova
    Z.A. Bashlyaeva Children City Clinical Hospital
  • V. Koroid
    Z.A. Bashlyaeva Children City Clinical Hospital
  • E. Kaurova
    Z.A. Bashlyaeva Children City Clinical Hospital
Название журнала
  • Pediatriya - Zhurnal im G.N. Speranskogo
Том
  • 99
Выпуск
  • 6
Страницы
  • 127-134
Номер гранта
  • undefined
Тип документа
  • journal article
Тип лицензии Creative Commons
  • CC BY
Правовой статус документа
  • Свободная лицензия
Источник
  • scopus