Any child (16 years) presenting with 1 AND 2 AND 3 below |
1. Presenting with |
• Persistent fever |
• Inflammation (neutrophilia, elevated CRP and lymphopaenia) |
• Evidence of single or multi-organ dysfunction (shock, cardiac, respiratory, renal, gastrointestinal or neurological disorder) |
• Additional features such as coagulopathy. |
• This may include children fulfilling full or partial criteria for Kawasaki disease |
2. Exclusion of any other microbial cause (waiting for results of these investigations should not delay seeking expert advice) |
3. SARS-CoV-2 PCR testing may be positive or negative |
Based on RCPCH guidance: https://www.rcpch.ac.uk/sites/default/files/2020–05/COVID-19-Paediatric-multisystem-%20inflammatory%20syndrome-20200501.pdf
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