Expressing that MIS-C disease is a type of syndrome that is usually seen in children after infection, Child Health and Diseases Specialist Uzm. Dr. Mesut Kılınç, “This syndrome, which has been proven to damage the heart and other tissues in the light of recent studies, can occur within an average of 4-6 weeks after coronavirus infection. Symptoms of this disease, whose cause is unknown, can be listed as high fever, abdominal pain, sore throat, vomiting, diarrhea, headache, fatigue, weakness, rashes in arms and legs, cracks in the mouth and lips.
PCR TEST RESULT IS NEGATIVE
Uzm, who informed that most of the children diagnosed with MIS-C had positive antibodies against SARS-CoV-2, but the PCR results were negative. Dr. Mesut Kılınç said, “Another concern is that 52 percent of children who develop MIS-C do not have any underlying diseases. “This suggests that the syndrome is unpredictable,” he said.
OBESE IN 50 PERCENT OF CHILDREN
Underlining that according to the researches, MIS-C is encountered in 50 percent of children who are overweight or obese. Dr. Mesut Kılınç shared the following information:
“Obesity and asthma are also common in children with MIS-C disease. While children with Covid-19 have upper respiratory symptoms, 100 percent fever, 68 percent vomiting and 73 percent abdominal pain can be seen in MIS-C syndrome. Abdominal pain is so severe that in some cases pediatric patients may be considered to have appendicitis or pancreatitis. Children with MIS-C syndrome may also have heart problems, and close follow-up is important as the long-term effects of cardiac involvement are currently unknown. Recently, there are data showing that the cases are reduced to the age of 3. “
ATTENTION TO DISEASE SYMPTOMS
Although the disease is rarely seen, Uzm pointed out the importance of knowing the findings well because it is a serious condition and families to help physicians. Dr. Mesut Kılınç, “In the case of some of the symptoms seen in MIS-C disease, especially resistant fever, in people with a previous (usually 2-4 weeks ago) or recent Covid-19 infection or a history of contact with a Covid-19 infected person, this suspecting the disease, it is necessary to apply to a health institution immediately ”and listed the findings:
• Most importantly, the presence of persistent fever above 38 degrees for more than 24 hours,
• Findings related to the gastrointestinal system such as nausea, vomiting, diarrhea, abdominal pain,
• The presence of rashes in the body,
• Redness and blood in the eyes without burring (conjunctivitis),
Involvement of mucous membranes (chapped lips, red-cracked tongue, etc.),
Respiratory problems (rapid breathing, breathing difficulties),
• Muscle and joint pains,
• Skin peeling, especially on the skin of hands and feet.
WHERE SHOULD PARENTS BE SUSPECTED OF MIS-C SYNDROME?
Stating that the symptoms of the disease are prolonged fever (four or more days), red eyes, rash on the body, redness or peeling of the palms and soles, severe abdominal pain, vomiting or diarrhea, Uzm. Dr. Mesut Kılınç, saying, “In such cases, the appropriate health institution should be applied immediately” and underlined that an evaluation should be made based on the Covid-19 (SARS-CoV-2 Infection) Pediatric Patient Management and Treatment Guide published by the Ministry of Health General Directorate of Public Health on September 1. .
6 PERCENT TO 20 PERCENT OF CHILDREN WITH COVID ARE MIS-C PATIENTS
Speaking about the incidence of MIS-C syndrome, Uzm. Dr. Mesut Kılınç reported the following information:
“There is no study that clearly gives MIS-C numbers in the world and in our country yet. However, in small regional studies, it is known that 6 to 20 percent of child Covid-19 cases requiring hospitalization are children with MIS-C, and among them there are 1-2 percent MIS-C patients who need intensive care unit care. “
NO PERMANENT DAMAGE IF GOOD TREATMENT
Stating that MIS-C disease is a disease that can be treated, Uzm. Dr. Mesut Kılınç said, “This disease, which does not cause permanent damage when treated well, may cause some serious health problems, especially coronary vessels, in untreated people. He concluded his words by saying that these patients should be followed up both in the diagnosis and treatment phase and in the post-treatment period, especially by departments such as pediatric cardiology and pediatric infectious diseases.