What to Know
- The Centers for Disease Control and Prevention has confirmed the link between a rare, potentially deadly syndrome in children with COVID-19
- New York City confirmed 147 cases of children sickened by PIMS, a number that may change under CDC's latest definition now referred to as MIS-C
- The syndrome has now been reported in nearly half the nation's states, including New Jersey and Connecticut
Cases of a rare, potentially deadly syndrome in children have been identified in nearly half the nation's states, just days after the Centers for Disease Control and Prevention confirmed the link between the coronavirus and the new illness.
New York City's health department has found 147 cases of children sickened by what was previously referred to as pediatric multisystem inflammatory syndrome (PIMS-TS), Mayor Bill de Blasio said Tuesday. He says the city will work under the CDC's latest definition of what it now calls multi-system inflammatory syndrome in children (MIS-C) to determine the most accurate case count.
Sixty-nine children diagnosed with the inflammatory syndrome tested positive for COVID-19 or the virus antibodies, the mayor said. A 5-year-old New York City boy has died, while two other deaths have been confirmed elsewhere in the state.
New Jersey health officials said Wednesday they had confirmed an additional three cases overnight, bringing the state's total to 15. The patients range in age from 3 to 18; 73 percent of the children tested positive for the virus or its antibodies.
Symptoms of the syndrome include persistent fever, irritability or sluggishness, abdominal pain, diarrhea, vomiting, rash, conjunctivitis, enlarged lymph node on one side of the neck, red cracked lips or red tongue and swollen hands and feet.
The syndrome has now been reported in nearly half the nation's states, including New Jersey and Connecticut. It doesn't look or "smell" like COVID, New York Gov. Andrew Cuomo said Sunday, but 90 percent of the children displaying symptoms in New York have tested positive for either the virus or the antibodies, indicating they had it at some point.
New Jersey confirmed 11 positive cases of children sick with MIS-C, nine of which tested positive for COVID-19. The state's health official said the cases were confirmed in young people ages 3-18.
New York state's health department is working with its 49 counterparts to inform them of the potential dangers and symptoms to watch, as hospitals and doctors race to treat a new illness with which they have no prior experience.
Unlike COVID-19, a respiratory disease, MIS-C affects blood vessels and organs and has symptoms similar to Kawasaki disease and toxic shock. It involves a “hyper response” of the child’s immune system to the virus that can lead to inflammation of the blood vessels, and affect the heart’s arteries, leading to coronary aneurysm. It likely took time to identify the apparent connection to the virus because it targets different systems and manifests in different symptoms.
But health experts have become increasingly sure they're related. In New York City, 55 of the 100 cases identified by Thursday involved children who tested positive for COVID-19 or the antibodies.
Mayor Bill de Blasio has launched a citywide advertising campaign advising parents of the symptoms. The city's health department has also put out a comprehensive fact sheet for parents. Cuomo meanwhile has told all hospitals to prioritize COVID-19 testing for children who present with them. On Tuesday, the governor appeared to be taking credit for the work done to educate the rest of the country on this growing issue — despite the state taking longer than a week before it started surveying hospitals.
"I believe we discovered it and we've given the nation and the world a heads up," Cuomo said.
Early detection can prevent serious illness or death, the mayor says. He is urging parents to call their pediatricians promptly if their children show symptoms including persistent fever, rash, abdominal pain, vomiting and diarrhea. Fewer than half of the pediatric patients in New York City displayed any shortness of breath, which has been considered a direct symptom of COVID-19, less than half of the pediatric patients in the city displayed any shortness of breath.
The Centers for Disease Control and Prevention issued a health alert to physicians Thursday regarding the illness that they have started calling "multisystem inflammatory syndrome in children," or MIS-C. The alert provides guidance for diagnosis of MIS-C. The diagnostic criteria include a fever of at least 100.4 degrees for at least 24 hours, evidence of inflammation in the body and hospitalization with problems in at least two organs (such as the heart, the kidneys or the lungs).
In New York City Friday, the syndrome had been found across a wide range of young people. About 35 percent of cases occurred in children under age 5, about 25 percent between the ages of 5 and 9, 24 percent between ages 10 and 14 and 16 percent between the ages 15 and 19.
90 percent of cases confirmed by the city are in three of the city's boroughs: Brooklyn, Queens and the Bronx. Nearly 1 in 4 children diagnosed with the syndrome are black, 14 percent Hispanic, 10 percent Asian, and 9 percent white, according to data presented by the mayor Friday.
A 5-year-old boy, a 7-year-old boy and an 18-year-old woman have died.
New Jersey's cases have been kids ages 2-18. It issued its first case report Wednesday.
In testimony Tuesday before a Senate committee on the administration’s coronavirus response, Dr. Anthony Fauci said while children generally fare better than others with the virus, the emerging condition shows how much is unknown.
“For example right now, children presenting with COVID-19 who actually have a very strange inflammatory syndrome very similar to Kawasaki syndrome,” Fauci said. “I think we better be very careful that we are not cavalier in thinking that children are completely immune to the deleterious effects.”
It Affected His Heart: NY Mom Shares Terrifying Story, Issues Dire Warning
New York mom Amber Dean was recovering from a mild bout of coronavirus herself. Her family of five had just ended their home quarantine when her oldest son, 9-year-old Bobby, fell ill.
“At first it was nothing major, it seemed like a tummy bug, like he ate something that didn't agree with him,” said Dean, who lives with her husband and three young children in the western New York town of Hornell. “But by the next day, he couldn't keep anything down and his belly hurt so bad he couldn't sit up.”
At the local hospital emergency room, doctors suspected an appendix infection and sent him home with instructions to see his pediatrician. It was only later, after Bobby's condition took an alarming turn for the worse, that doctors realized he was among the small but growing number of children with a mysterious inflammatory syndrome thought to be related to the virus.
Bobby Dean was tested for COVID-19 a day after his trip to the ER. For the next six days, she was at his hospital bedside while Bobby was hooked up to IV lines and a heart monitor. He came home on Mother's Day.
“It never affected his respiratory system, it was his heart that it affected,” Amber Dean said. “They're hoping he pulls through with 100% recovery but they said there have been children with lasting effects.”
As Bobby's energy returns, his mom is vigilant for signs of illness in her younger children, aged 7 months and 3 years.
“It’s a pretty scary thing, watching your child be hooked up to all these wires and IVs and there’s nothing you can do,” Dean said. “In my opinion, right now, I would not let your child out in public.”