REVIEW PAPER
A link between the COVID-19 pandemic and Kawasaki-like multi-system inflammatory syndrome in children
1
Pediatrics Department, National Research Centre, Cairo, Egypt
Corresponding author
Manal Fouad Elshamaa
33 Elbohous street, Dokki, Cairo, Egypt, postal code,12311, Pediatrics Department,National Research Centre
33 Elbohous street, Dokki, Cairo, Egypt, postal code,12311, Pediatrics Department,National Research Centre
J Pre Clin Clin Res. 2020;14(4):151-155
KEYWORDS
TOPICS
ABSTRACT
Introduction:
COVID-19 (coronavirus disease 2019) – the epidemic outbreak caused by coronavirus-severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) – is a global public health problem. Children are less affected and have a mild form of the illness. The association between SARS-CoV-2 disease, COVID-19 and late symptoms of vasculitis is often suspected, in particular in young asymptomatic patients, especially due to the post-viral immune response.
Objective:
The aim of the review is to describe the characteristics of children and adolescents affected by the development of Kawasaki-like mult-system inflammatory syndrome (KD) (MISC), and assesses its possible temporal association with SARS-CoV-2 infection
Brief description of the state of knowledge:
A group of children who presented with KD-type MISC during the COVID-19 pandemic have been identified in the United Kingdom, the United States, and Italy. Some children were diagnosed with SARS-CoV-2 infection by real-time polymerase chain reaction and IgG antibodies. SARS-CoV-2 infection and hyperinflammation in COVID-19 can serve as an ‘initial trigger’ for KD. IVIG should be administered within seven days of onset of illness until KD symptoms disappear and COVID-19 test is negative. Large numbers of children in African countries with the SARS-CoV-2 epidemic are likely to be affected by KD, and in such cases, a shortage of IVIG supplies is expected.
Conclusions:
This article suggests a correlation between COVID-19 and Kawasaki-like MISC, which is important for the care of sick children. However, the definitive relationship between childhood KD and COVID-19 needs to be confirmed by a large cohort study on a large numbers of infant and children patients worldwide.
COVID-19 (coronavirus disease 2019) – the epidemic outbreak caused by coronavirus-severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) – is a global public health problem. Children are less affected and have a mild form of the illness. The association between SARS-CoV-2 disease, COVID-19 and late symptoms of vasculitis is often suspected, in particular in young asymptomatic patients, especially due to the post-viral immune response.
Objective:
The aim of the review is to describe the characteristics of children and adolescents affected by the development of Kawasaki-like mult-system inflammatory syndrome (KD) (MISC), and assesses its possible temporal association with SARS-CoV-2 infection
Brief description of the state of knowledge:
A group of children who presented with KD-type MISC during the COVID-19 pandemic have been identified in the United Kingdom, the United States, and Italy. Some children were diagnosed with SARS-CoV-2 infection by real-time polymerase chain reaction and IgG antibodies. SARS-CoV-2 infection and hyperinflammation in COVID-19 can serve as an ‘initial trigger’ for KD. IVIG should be administered within seven days of onset of illness until KD symptoms disappear and COVID-19 test is negative. Large numbers of children in African countries with the SARS-CoV-2 epidemic are likely to be affected by KD, and in such cases, a shortage of IVIG supplies is expected.
Conclusions:
This article suggests a correlation between COVID-19 and Kawasaki-like MISC, which is important for the care of sick children. However, the definitive relationship between childhood KD and COVID-19 needs to be confirmed by a large cohort study on a large numbers of infant and children patients worldwide.
ACKNOWLEDGEMENTS
The author thanks the National Research Centre in Cairo, Egypt.
CONFLICT OF INTEREST
The author declares that there are no conflicts of interest.
Manal Fouad Elshamaa. A link between the COVID-1 pandemic and Kawasaki-like multi-system inflammatory syndrome in children. J Pre-Clin Clin Res. 2020; 14(4): 151–155. doi: 10.26444/jpccr/130368
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