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- MIS-C was confirmed after the reports revealed that the child had high levels of COVID antibodies
- The child was brought to Apollo on a ventilator and was put on ECMO support
- MIS-C is emerging as a key post COVID complication in kids below 12 years of age
India
healthysoch
New Delhi, June 24, 2021 :
While the reported severity of Covid-19 in children has been mild, a few cases of severe manifestations and post Covid complications have been reported. These complications range from mild manifestations of extreme fatigue, body & joint pain and fever, to some severe health conditions, multi system inflammatory syndrome (MIS-C) and acute respiratory distress being the two most common ones.
In a similar case, an 8 year old child, was admitted to Indraprastha Apollo Hospitals, New Delhi on 5th June, after being diagnosed with multi system inflammatory syndrome (MIS-C). After complaining of high grade fever, abdomen pain, vomiting and persistent headache for a week, the child had been admitted to another local hospital where her condition had deteriorated to acute respiratory distress.
She was then referred to the pediatric team of Indraprastha Apollo Hospitals where Dr Nameet Jerath, Senior Consultant, Pediatric Intensive Care, Indraprastha Apollo Hospitals, New Delhi, led her treatment and said, “Multisystem Inflammatory Syndrome in Children (MIS-C), a post-COVID complication, can manifest three to six weeks after asymptomatic or symptomatic infection, and early detection is important to control mortalities.
When this child was brought to Apollo, her condition was critical with low levels of blood pressure, oxygen and dipping pulse rate. While she had tested negative for COVID 19, she was detected with high levels of COVID antibodies making her a case of MIS-C. Because of her very high ventilator requirements and low oxygen saturations we decided to immediately put her on ECMO support. She improved gradually and it was only after a week that she could be taken off ECMO support.”
Dr Muthu Jyothi, Senior Consultant, Pediatric Cardiology, Indraprastha Apollo Hospitals, said, ‘If MIS-C is not identified and treated quickly, the condition of the patient can deteriorate within hours and make it life threatening. It can develop in children who had no serious COVID-19 symptoms. MIS-C is an unregulated hyper immune response typically found in children as a reaction to inflammation in the body.
This 8 year old child had to be brought to Apollo in an emergency situation when her pulse rate and bp fell to critical levels. We brought her in an ambulance while being on ventilator to ensure the situation does not degrade further, threatening her life.
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