Taiwan recently reported its first case of a child developing multisystem inflammatory syndrome in children after COVID-19 infection. It's a rare but serious condition associated with COVID-19, in which different body parts become inflamed, including the heart, lungs, kidneys, brain, skin, eyes, or gastrointestinal organs. Parents are reminded to be alert for symptoms two to six weeks after their recovery.
National Taiwan University Hospital recently treated a child who developed multisystem inflammatory syndrome in children after recovering from COVID-19. Now, Taipei Medical University Hospital has seen a case as well. The patient was a five-year-old boy who developed a fever of 40 degrees Celsius and stomach pain 26 days after the infection. His heart was already failing by the time he got to the hospital.
Lu Jen-her, Pediatrics Attending Physician, TMU Hospital: “His eyes were red, and he had a fever. He took antipyretics, but they didn't help. What's significant is that he had stomach pain and diarrhea. When he was admitted, we immediately thought it could be MIS-C, so we performed a heart ultrasound and tests. After it was confirmed, we gave him a high dose of immune globulin and he recovered.”
Central Epidemic Command Center statistics show that MIS-C normally occurs in children aged 6 to 12, and the mortality rate can be as high as two percent. Doctors remind parents to be alert for a persistent fever accompanied by stomach pain in the two to six weeks after their children contract COVID-19.
Lee Chien-chang, Clinical Assoc. Professor, NTUH Dept. of Emer. Medicine: “MIS-C and Kawasaki disease have similar symptoms, including red lips and a rash on the body. Parents must remember to tell doctors that the child was infected with COVID-19 before or that someone in the household was infected so they will be able to make the connection and diagnose MIS-C.”
There isn't much information available on the incidence of MIS-C, and it appears that East Asians are less likely to develop it than Westerners. At present, it can only be estimated that the worst case scenario in Taiwan will be an incidence of one in 10,000. The epidemic situation is worsening in the south, and doctors remind parents there to be alert for MIS-C symptoms.
根據指揮中心資料顯示，MIS-C好發於6至12歲之間的幼童或青少年，致死率最高2%。醫師提醒，孩子感染新冠後康復，父母仍要注意 MIS-C 症狀，通常是在感染後 2至6 週內發生，若確診孩童出現連續高燒伴隨腹痛，就要特別當心。