Recommendations for the initial management of multisystem

Arch Argent Pediatr · Dec 2020

Review

Recommendations for the initial management of multisystem inflammatory syndrome temporally related to COVID-19, in children and adolescents.

Multisystem inflammatory syndrome temporally related to COVID-19 in children and adolescents is a clinical presentation of SARS-CoV-2 infection. It shares some features with Kawasaki disease, toxic shock, sepsis, macrophage activation syndrome, and myocarditis. Few publications have addressed its initial management, which is similar to that proposed for septic shock. This review analyzes such approach based on the characteristics typical of multisystem inflammatory syndrome related to COVID-19 in accordance with the paradigm of an "institutional practice guideline" and suggests therapeutic approach strategies, including early detection, stabilization, referral, specific treatment, and process analysis.

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- Guillermo Kohn-Loncarica, Ana Fustiñana, Franco Díaz-Rubio, Juan C Jaramillo-Bustamante, Sebastián González-Dambrauskas, Pablo Vásquez-Hoyos, Jaime Fernández-Sarmiento, Gustavo González, Alejandro Mansur, Javier Ponce, and Roberto Jabornisky.
- Unidad Emergencias, Hospital "Prof. Dr. Juan P. Garrahan", Buenos Aires, Argentina. Sociedad Latinoamericana de Emergencias Pediátricas (SLEPE). gkohnloncarica@gmail.com.
- Arch Argent Pediatr. 2020 Dec 1; 118 (6): e514-e526.
AbstractMultisystem inflammatory syndrome temporally related to COVID-19 in children and adolescents is a clinical presentation of SARS-CoV-2 infection. It shares some features with Kawasaki disease, toxic shock, sepsis, macrophage activation syndrome, and myocarditis. Few publications have addressed its initial management, which is similar to that proposed for septic shock. This review analyzes such approach based on the characteristics typical of multisystem inflammatory syndrome related to COVID-19 in accordance with the paradigm of an "institutional practice guideline" and suggests therapeutic approach strategies, including early detection, stabilization, referral, specific treatment, and process analysis.Sociedad Argentina de Pediatría.

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Recommendations for the initial management of multisystem inflammatory syndrome temporally related to COVID-19, in children and adolescents.

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