Systemic inflammatory syndrome in children during COVID-19 pandemic in Ceará state, northeastern Brazil: an observational study

Abstract In this study, we report the occurrence of multisystemic inflammatory syndrome among 64 children (2 deaths) with recent severe acute respiratory syndrome-related coronavirus 2 (SARS-COV-2) infections in the northeast region of Brazil. The major clinical symptoms and signs reported were exanthema (60.9%), abdominal pain (56.3%), nausea and vomiting (46.9%), diarrhea (37.5%), and dyspnea (37.5%). Laboratory findings revealed that the levels of C-reactive protein (75.0%), hemoglobin (51.6%), D-dimer (48.4%), lymphocytes (43.8%), LDH (45.3%), AST (42.2%), ALT (51.6%), and ferritin (48.4%) were above the reference values for a given age and gender. The clinical findings were similar to those observed in Kawasaki disease, although it represents a separate entity, emphasizing the need for proactive surveillance and early treatment.

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Bibliographic Details
Main Authors: Farias,Luís Arthur Brasil Gadelha, Almeida,Magda Moura de, Linhares,Pâmela Maria Costa, Brito Alves,Bruno Cavalcante Fales de, Duarte Filho,Roberto Jorge Colares, Leite,Roberio Dias, Safadi,Marco Aurelio Palazzi, Cavalcanti,Luciano Pamplona de Góes
Format: Digital revista
Language:English
Published: Sociedade Brasileira de Medicina Tropical - SBMT 2021
Online Access:http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0037-86822021000100658
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