United Kingdom. Royal College of Paediatrics and Child Health (RCPCH). Guidance – Paediatric multisystem inflammatory syndrome temporally associated with COVID-19 (PIMS).
Most children are asymptomatic or exhibit mild symptoms f rom COVID-19 infection. However,in the last two months a small number of children have been identified who develop a significant systemic inflammatory response. All children have been diagnosed and managed appropriately along standard referral pathways. Affected children may require paediatric intensive care and input f rom paediatric infectious diseases, cardiology, and rheumatology.
This rare syndrome shares common features with other paediatric inflammatory conditions including: Kawasaki disease, staphylococcal and streptococcal toxic shock syndromes, bacterial sepsis and macrophage activation syndromes. It can also present with unusual abdominal symptoms with excessive inflammatory markers.
Early recognition by paediatricians and specialist referral including to critical care is essential.Advice currently given to families and carers of children and young people (for example RCPCH parent advice during COVID-19 leaflet) supports appropriate referral to health services.
Disponível Em: <https://www.rcpch.ac.uk/>