By Health In Five Writer
A 15-year-old boy was successfully treated for multisystem inflammatory syndrome in children (MIS-C), a fatal post-Covid complication that involves multiple organs at Wockhardt Hospital, Mira Road.
About one and half a months ago, he was admitted after he complained of high-grade fever, severe abdominal pain and was taken to a local hospital wherein ultrasonography was conducted. As per investigation, the boy had appendicitis and underwent appendectomy, a surgery to remove the appendix when it is infected, and large amount of pus was drained from the abdomen. On the second postoperative day, his saturation dropped to merely 40% whereas the normal saturation is more than 94% on room air. The patient was breathless and was referred to Wockhardt Hospital.
Dr. Ankit Gupta, Lead Paediatric Critical Care Specialist at Wockhardt Hospital informed, “On arrival at the emergency, the boy was critical and his saturation level was 30%. He was immediately put on high ventilator support, his CT scan showed around 70 % of lung involvement, and had acute respiratory distress syndrome (ARDS). Since there was multi-system involvement like abdomen, lungs and his blood pressure was low, we suspected multisystem inflammatory syndrome in children (MIS-C) temporarily associated with Covid. MIS-C is a syndrome wherein one’s organs and tissues tend to get severely inflamed. It involves one’s heart, lungs, kidneys, skin, brain, eyes, and gastrointestinal organs. It is associated with Covid and many children suffer from it after getting infected or if they have a family history of Covid infection. This boy had a family history of Covid infection. He was treated with steroids and intravenous immunoglobulin (IVIG). His condition dramatically improved, his breathing and saturation improved. He was off the ventilator after 4 to 5 days.”
Since the boy got the required treatment on time, his life was saved. Experts says that parents shouldn’t ignore symptoms such as prolonged high-grade fever, red eyes, swelling in the neck, rashes all over the body, abdominal pain, loose motions, low blood pressure, fatigue, vomiting and diarrhoea. “These symptoms overlap with various other conditions and so high index of suspicion for MIS C is important. The patient should also be examined regarding the history of Covid-19,” added Dr. Gupta.
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