1) An individual aged < 21 years with: 2) Clinical criteria:
-
-
Fever > 38C° for ≥ 24 hours, or report of subjective fever lasting ≥ 24 hours AND
-
-
Severe illness necessitating hospitalization AND
-
-
Two or more organ involvement (i.e., cardiac, renal, respiratory, hematologic, gastrointestinal, dermatologic, neurological)
3) Evidence of inflammation:-
-
One or more of the following: an elevated CRP, ESR, fibrinogen, procalcitonin, D-dimer, ferritin, LDH, or IL-6; elevated neutrophils, reduced lymphocytes; low albumin
4) Laboratory or epidemiologic evidence of SARS-CoV-2 infection:
-
-
Positive for current or recent SARS-COV2 infection by RT-PCR, serology or antigen test;
-
-
Exposure to a suspected or confirmed COVID-19 case within the 4 weeks prior to the onset of symptoms.
5) No alternative plausible diagnoses |