15 New York children with COVID-related rare diseases – Here are the warning signs – NBC New York


New York City has identified more than a dozen children in city hospitals who have a rare COVID-19 disease – and at least one expert believes there will certainly be more

Pediatric multi-syndrome inflammatory syndrome has been observed in fifteen children hospitalized from April 17 to May 1 in the city, according to Demetre Daskalakis, Deputy Commissioner of Disease Control at the New York City Health Department. Although the full spectrum of the disease is not yet known, said Daskalakis, features of Kawasaki disease and toxic shock have been observed in patients aged 2 to 15 years, as well as fevers and inflammation that last several days.

Four of the 15 children tested positive for COVID-19, and six tested positive for anti-coronavirus antibodies, signifying a previous infection.

The city’s health department may only recognize severe cases at this stage, but a doctor familiar with the disease believes there will be many more to come.

“This is happening all over Europe,” Dr. Jane Newburger, Kawasaki program director at Boston Children’s Hospital, told NBC News. “This is definitely happening in various cities on the East Coast and parts of the Midwest. “

Newburger said the disease can appear as a “post-immune reaction to COVID,” which means the body seems to overcompensate and essentially continues to fight a disease that no longer attacks the body – perhaps even weeks after getting a virus like COVID-19.

New York Mayor Bill de Blasio tweeted Tuesday afternoon about the cases found in the city, saying, “We have not seen any dead yet, but we are very concerned about what we are seeing. We are learning more every day ”about how COVID-19 affects the body. It is a fierce disease. “

The mayor also said the city would require health care providers to report any cases of people under the age of 21 being treated for these symptoms.

How to identify symptoms early

What are the symptoms of pediatric multi-system inflammatory syndrome? The New York Department of Health said the 15 children had fever and more than half said they had rashes, abdominal pain, vomiting or diarrhea. Although it was considered a direct symptom of COVID-19, less than half of the city’s pediatric patients had shortness of breath.

Fortunately, no deaths have been reported among the New York cases.

Any child who has symptoms related to Kawasaki disease or toxic shock syndrome should be seen by a doctor as soon as possible, as the health department has stated that early recognition and referral from a pediatrician to a specialist are essential, including admission to intensive care units if necessary. Starting treatment quickly can help prevent damage to terminal organs and other long-term problems, Daskalakis said in the city’s medical alert.

Dr. Newburger suggests that any parent who finds that their child has a high fever and “doesn’t look well” should call their pediatrician and see a doctor.

Mount Sinai confirms reports of unusual new COVID-19 illnesses in several pediatric patients.

Mount Sinai Hospital has previously confirmed information from NBC New York that they are seeing the unusual new COVID-19 disease in several pediatric patients, compared to only two on April 28. The hospital’s head of pediatric intensive care warned parents to be on the lookout for certain symptoms.

In a statement, Dr. George Ofori, director of pediatric intensive care at Mount Sinai Kravis Children’s Hospital, said, “Some of the cases that we are currently treating have entered our care, with symptoms such as abdominal pain, vomiting, diarrhea and severe fever. Others first presented with a rash, conjunctivitis and / or chapped lips.

Dr. Ofori said that some patients developed heart problems and low blood pressure which led to shock. He said some were diagnosed with COVID-19 2-3 ​​weeks before the symptoms started.

“If the underlying condition is COVID-19 or the body’s response to COVID-19 is not known at this time. Although it is too early to say definitively what is causing it, we think it is important to alert the public to what we are seeing, “he said.

A different source told NBC New York that some of the children had no underlying underlying health problems.

Report by Melissa Russo of NBC New York.

The Mount Sinai statement came two days after Dr. Ofori’s counterpart at Cohen Children’s Hospital on Long Island told I-Team in an interview that they had seen a dozen severely pediatric patients sick in recent weeks with similar inflammatory symptoms.

“We now have at least a dozen patients in our hospital who present themselves in the same way, who we believe are related to a [COVID-19] “Said Dr. James Schneider, director of pediatric intensive care at the Cohen Children’s Hospital in Nassau. “This is something that we are starting to see across the country. “

An almost tragic case

Cohen is one of many local hospitals where pediatricians are concerned about the recent hospitalizations of previously healthy children who fell seriously ill with the same characteristics, resembling toxic shock syndrome and Kawasaki disease, a An autoimmune disease that can be triggered by a viral infection and if left untreated quickly, it can cause fatal damage to the arteries and the heart.

One child who went to Cohen’s Children’s Hospital is Jayden Hardowar, 8, who was apparently in good health before suddenly experiencing cardiac arrest one night.

In late April, Jayden started to have a fever and bouts of diarrhea. His parents took him to his pediatrician and soon after, he seemed to respond well to Tylenol. Navita said her temperature had dropped after a few days and that she had never suffered from shortness of breath. Although his father Roup said that Jayden’s strength had not really returned, they were not too worried because they thought it might be due to diarrhea.

A family in Queens tells their story of almost losing their young son to a virus that they said was not supposed to target children. Now they are warning other parents. Report by Melissa Russo of NBC New York.

His mother said that she noticed that something was really wrong when she was sitting in bed with the child and that she saw her son’s head and hands twisted in an unorthodox position toward the back.

“I quickly looked at his face and his lips were all blue at the time, so I knew right away that something was wrong here with Jayden,” said Navita Hardowar. She started shouting his name, but he didn’t answer. The boy’s brother and father practiced CPR, and soon he was rushed to the Jamaica hospital before being rushed to Cohen’s Children’s Hospital in Nassau County.

In Jayden’s case, it only took five days for a healthy boy to pass playing games and singing to need a machine to help him breathe for several days, unable to talk to his parents who tried to video chat with him from his hospital bed. . His parents said he suffered from inflammation and suffered from cardiac arrest and heart failure.

Papa Roup still doesn’t know how his son got the virus. “None of us – six of us at home: two adults, four children – none of us had been sick. We have all been very strong and we practice social distancing very diligently … we thought we were safe, “he told me.

Fortunately, Jayden was finally good enough to be removed from the ventilator over the weekend, three days after being rushed to hospital. Although he still finds it difficult to speak, his parents said their boy was more reactive on Sunday when they spoke to him, and they hope to see him at home soon.

“It just shows that COVID spares no age group and can cause very serious illnesses, even in children,” said Dr. Schneider.

Scott Gotlieb, former FDA chief and New York emergency room doctor, echoed these feelings during an appearance on CNBC, saying the new cases appeared to refute the previous idea that the coronavirus “did not really affect patients.” children ”.

“We certainly know that there are children who have been hospitalized, who have become very sick, but now it seems that there are unusual phenomena that affect children – not in large numbers, these still seem to be small medical reports in the literature – but there are unusual syndromes that children develop, possibly due to the coronavirus, “said Gottlieb on CNBC.


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