Table 1.
Demographic and clinical features of MIS-C patients. Abbreviations, coronary artery (CA), major depressive disorder (MDD), post-traumatic stress disorder (PTSD), cardiomegaly (CM), mitral regurgitation (MR), left ventricle (LV), thrombocytopenia (TCP), reactive airway disease (RAD).
P1 | P2 | P3 | P4 | P5 | P6 | P7 | P8 | Aggregate | |
---|---|---|---|---|---|---|---|---|---|
| |||||||||
Gender | Male | Female | Male | Female | Male | Male | Female | Female | 50% Male |
Comorbidities | none | none | Asthma | none | Asthma | none | MDD, PTSD | none | 37.50% |
WHO MIS-C Criteria | |||||||||
Fever | Yes | Yes | Yes | Yes | Yes | Yes | Yes | Yes | 100% |
Rash | No | Yes | No | Yes | Yes | No | No | No | 37.50% |
Conjunctivitis | Yes | Yes | No | No | No | No | No | Yes | 37.50% |
Mucocutaneous | Yes | Yes | No | Yes | No | No | No | No | 37.50% |
Extremity | No | No | No | No | No | No | No | No | 0.00% |
Gastrointestinal | Pain Emesis |
Pain Emesis |
Pain | Emesis Diarrhea |
Diarrhea | Pain | Emesis Diarhhea |
Pain Emesis |
100% |
Hypotension / shock | Yes | Yes | No | No | No | Yes | Yes | Yes | 63% |
Cardiac Abnormalities | ↑ troponin ↑ BNP CA dilation MR |
↑ troponin ↑ BNP |
↑ troponin ↑ BNP Prolonged-PR CM |
↑ troponin ↑ BNP |
CA ectasia | ↑ troponin ↑ BNP CA dilation |
↑ troponin ↑ BNP CA aneurysm Reduced LV function Diffuse ST elevation |
↑ troponin ↑ BNP CA aneurysm Reduced LV function Prolonged QT |
100% |
Coagulopathy | ↑ D-dimer ↑ PT ↑ PTT |
↑ D-dimer ↑ PT ↑ PTT |
↑ D-dimer ↑ PT ↑ PTT |
↑ D-dimer ↑ PT ↑ PTT |
↑ D-dimer | ↑ D-dimer ↑ PT ↑ PTT |
↑ D-dimer ↑ PT ↑ PTT |
↑ D-dimer ↑ PT ↑ PTT |
87.50% |
Inflammatory Markers | ↑ ESR ↑ CRP ↑ PCT |
↑ ESR ↑ CRP ↑ PCT |
↑ ESR ↑ CRP |
↑ ESR ↑ CRP ↑ PCT |
↑ ESR ↑ CRP ↑ PCT |
↑ ESR ↑ CRP ↑ PCT |
↑ ESR ↑ CRP ↑ PCT |
↑ ESR ↑ CRP ↑ PCT |
100% |
Other microbial cause | No | No | No | No | No | No | No | No | 0% |
CoV-2 PCR | Neg | NA | Neg | Pos | Pos | Neg | Neg | Neg | 25% |
Prior Cov-2 Exposure | NA | NA | NA | Mother PCR+ 3 weeks prior |
NA | PCR+ 4 weeks prior |
NA | NA | 25% |
CoV-2 Serology | + | + | + | + | + | + Appendictis 4 weeks prior ↑Transaminases |
+ Headache Thrombocytosis ↑Transaminases |
+ Headache ↑Transaminases Hypertriglyceridemia |
100% |
Other Clinical Features | Scrotal pain TCP ↑Transaminases RAD |
TCP ↑Transaminases RAD |
SOB Pleural effusions Thrombocytosis ↑Transaminases |
Thrombocytosis ↑Transaminases |
SOB Headache Hypertension Pneumonia ↑Transaminases RAD |
||||
Treatment | IVIG TCZ x3 enoxaparin ASA |
IVIG x2 TCZ x2 enoxaparin ASA |
TCZ enoxaparin ASA |
IVIG x1 TCZ x2 enoxaparin |
IVIG x1 TCZ x1 enoxaparin |
IVIG x1 TCZ x2 enoxaparin ASA |
IVIG x1 TCZ x1 enoxaparin |
IVIG x1 TCZ x1 enoxaparin ASA hydrocortisone |
|
Admission duration (days) | 8 | 6 | 6 | 5 | 3 | 8 | 6 | 5 | 6 |
Outcome | Favorable | Favorable | Favorable | Favorable | Favorable | Favorable | Favorable | Favorable | Favorable |
Note: All patients are between the ages of 3 – 20