CDC alerts doctors to COVID-19 linked condition in children; Cook Children’s has seen condition

This scanning electron microscope image shows SARS-CoV-2 (yellow)—also known as 2019-nCoV, the virus that causes COVID-19—isolated from a patient in the U.S., emerging from the surface of cells (pink) cultured in the lab. Credit: National Institute of Allergy and Infectious Diseases-Rocky Mountain Laboratories, NIH

By LINDSEY TANNER AP Medical Writer

The federal Centers for Disease Control and Prevention is warning doctors about a serious rare inflammatory condition in children linked with the coronavirus.

In an alert issued May 14, the CDC called the condition multisystem inflammatory syndrome in children. The agency’s case definition includes current or recent COVID-19 infection or exposure to the virus, a fever of at least 100.4 for at least 24 hours, severe illness requiring hospitalization, inflammatory markers in blood tests, and evidence of problems affecting at least two organs that could include the heart, kidneys, lungs, skin or other nervous system. The name and definition are similar to those used in Europe, where the condition was first reported several weeks ago.

 The condition has been reported in at least 110 New York children and in several kids in other states. A few children have died.

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Some children may have symptoms resembling Kawasaki disease, a rare condition in children that can cause swelling and heart problems.

Reported cases have all involved children but the CDC said it is unknown if the condition can occur in adults.

At Cook Children’s Medical Center in Fort Worth, Dr. Nicholas Rister, a pediatric medicine specialist, said they have seen four of the cases among children ages 6 to 14, since May 9. In three of the patients, they have not tested positive for COVID-19, but they have had exposure to the disease.

“We are modeling our treatments after (Kawasaki),” he said. He said they have treated the disease “very aggressively,” so that the disease doesn’t progress in the patient.

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Three of the patients have been released as of May 18 and one is still at the hospital.

Doctors should be on the lookout for the condition and report suspected cases to local or state health departments. It should be suspected in all deaths in children who had evidence of COVID-19 infection, the CDC said.

Children are less likely than adults to develop COVID-19 and their illnesses usually are less severe although they can spread the disease without showing symptoms.

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The Associated Press Health and Science Department receives support from the Howard Hughes Medical Institute’s Department of Science Education. The AP is solely responsible for all content.