Friday , September 24 2021

advice from health authorities to detect PIMS syndrome in children

Since the outbreak began in France, Santé Publique France has described dozens of cases of pediatric multisystem inflammatory syndrome, known as PIMS, in children. This syndrome, with symptoms very similar to Kawasaki disease (high fever, rash, diarrhea and difficulty breathing) has been observed in children in the context of Covid-19 infection.

A total of 520 cases were identified in France, including one death on 13 June 2021, and 2/3 of the children were hospitalized in intensive care, the High Authority for Health says on its site. ” Little is known about this syndrome and the symptoms are not very specific, which may delay diagnosis, especially in children, as SARS-CoV-2 infection is usually not very symptomatic or even asymptomatic. » specifies the HAS that provides the keys for early detection of this condition and therefore the best possible maintenance.

Multiple signs that can warn

Like this, ” Physicians should consider the diagnosis of PIMS especially when they observe the following symptoms: high fever, usually above 39°C, marked deterioration in general condition (apathy, extreme asthenia, loss of appetite, chills, pallor, widespread pain, mottling), very frequent digestive symptoms (abdominal pain, diarrhoea, nausea, vomiting, pseudo-appendicular syndrome (most often the abdomen is flexible on palpation). »

HAS, on the other hand, urges doctors to be wary of other symptoms.” may exist, but in a variable manner »: Pallor, polypnea, tachycardia, pulse rate, hepatomegaly, prolonged skin recoloration time, blood pressure imbalance or hypotension, skin and mucus manifestations (conjunctival injection, maculopapular rash, pruritus, edema and redness of extremities, dry and chapped lips, glossitis) ), neurological symptoms (irritability, headache, menenism, confusion) and respiratory symptoms (polypnea, cough).

Note that most often, these signs occur in children aged 4 to 11 years.

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