Welcome to Pedagogy   |   Sign In

11 Cases of Pediatric Inflammatory Condition Linked to Coronavirus in Louisiana

Louisiana now has 11 known cases of a serious inflammatory condition linked to coronavirus in children, according to the Louisiana Department of Health. The condition, previously known as pediatric multi-inflammatory syndrome and now called multisystem inflammatory syndrome in children (MIS-C), is so new that doctors don't yet know much about it or why it is triggered in some children.

Doctors at Children's Hospital in New Orleans have seen patients from all over the state and Mississippi.

"We've seen kids 2 months to 15 years old," said Dr. Nihal Godiwala, an LSU Health pediatric critical care pulmonologist who sees patients at Children's. "But presentations are similar with a constellation of symptoms including fever, rash and some form of abdominal symptoms."

Those symptoms match many common childhood illnesses. What sets this disease apart, said Godiwala, is the way it sets off the body's inflammatory response.

The syndrome causes inflammation of the heart, lungs, kidneys, brain, skin, eyes, or gastrointestinal organs. Some children have gone into cardiac arrest and needed ventilators.

Parents should seek medical attention for their children if they notice any symptoms, experts said. Getting life-saving drugs and devices to children quickly is crucial with this disease. Like adults with coronavirus, patients can take a turn for the worse.

"We’re seeing kids decompensate quickly and require a lot of interventions," said Godiwala. "It can be as quick as hours or over the course of a couple days."

In New York, at least 102 children have been diagnosed with the syndrome and three have died.

In a small study published in The Lancet medical journal examining a cluster of eight children from London with the condition, one child, a 14-year-old boy, died. All of those children were previously fit and well.

Experts still consider the condition to be rare in children, and have theorized it may be a delayed immune response to coronavirus. It is unknown if adults can also develop a similar response.

The disease mirrors symptoms of Kawasaki disease, a rare but serious immune response to viral illness. MIS-C looks like Kawasaki, but the criteria to diagnose it is different.

"The hallmark is specific elevation in inflammatory markers," said Godiwala, referring to ways practitioners measure inflammation using blood tests. "Their lab markers are off the chart."

Louisiana health officials will begin posting public data on cases of the syndrome next week.

Original article by NOLA.com, 5/22/2020.


For those of you interested in learning more about, COVID-19 Pedagogy author Maureen Sullivan has written the course COVID-19: A Healthcare Pandemic.

The purpose of this educational offering is to familiarize the healthcare professional with the issues surrounding COVID-19, a coronavirus that is currently causing a healthcare pandemic. This novel or new coronavirus was identified last year (2019), and is currently causing increasing numbers of illness and death worldwide. As this viral infection takes a financial, medical, and emotional toll on the worldwide population, it is imperative that all healthcare workers have a basic understanding of the virus, its symptoms, and transmission, and most importantly, what measures can be taken to lower the risk of infection in all areas of work and home.

Objectives:

Upon completion of this course participants will be able to:
  1.  Discuss what is meant by the term coronavirus and the acronym COVID-19.
  2.  Identify signs and symptoms pertaining to the clinical presentation of a suspected coronavirus patient.
  3.  Outline infection control issues related to the care of the coronavirus patient.
  4.  Discuss the likely origin of coronavirus in Wuhan, China.
  5.  Cite proper hand washing guidelines and use of Personal Protective Equipment (PPE).
  6.  Describe ongoing research and development of treatments (medications, vaccines, and others) for confirmed coronavirus.
  7.  Discuss the differences between the terms outbreak, epidemic, and pandemic.
  8.  Discuss the term “social distancing”.
  9.  Discuss the term “vulnerable population” as a high-risk group for developing coronavirus.
  10.  State the differences between the terms contagious and infectious.
Curriculum:

Chapter 1: Introduction, and Learning Objectives
Chapter 2: Origin and Pathophysiology of COVID-19
Chapter 3: COVID-19 and Vulnerable Populations
Chapter 4: COVID-19 and Emerging Treatment Options
Chapter 5: Nursing Homes: Preparing to Deal with a Pandemic
Chapter 6: When the Caregiver Becomes the Patient
Chapter 7: Caring for the Caregiver: The Importance of Self-Care Amidst a Pandemic
Chapter 8: References
Chapter 9: Appendix
Pedagogy Newsletter
Subscribe to Pedagogy's Quarterly Newsletter

Subscribe


Copyright © 2020 Pedagogy, Inc. All Rights Reserved.



Powered by Kentico