Table 1. – Demographic data, clinical and laboratory data of COVID-19 pediatric patients with and without multisystem inflammatory syndrome in children (MIS-C), according to the World Health Organization criteria (WHO).
Demographic, clinical and laboratory data | MIS-C ( n = 20) | Non-MIS-C ( n = 28) | p |
---|---|---|---|
Age (years) | 8.4 (0.1-16.4) | 6.7 (0 – 18.6) | 0.33 |
Sex (male) | 10 (50%) | 17 (60.7%) | 0.56 |
Preexisting diseases | 15 (75%) | 20 (71.4%) | 1 |
Respiratory symptoms | 10 (50%) | 14 (50%) | 1 |
Gastrointestinal symptoms | 6 (30%) | 7 (25%) | 0.75 |
Rash/ Non-purulent bilateral conjunctivitis/mucocutaneous inflammation signs | 1 (5%) | 0 (0%) | 0.41 |
Seizures | 5 (25%) | 0 (0%) | 0.009 |
Shock | 12 (60%) | 0 (0%) | <0.0001 |
Evidence of coagulopathy (↑PT, ↑PTT, ↑D-dimer) | 20 (100%) | 18 (64.3%) | 0.0028 |
Anemia* | 14 (70%) | 21 (75%) | 0.75 |
Thrombocytopenia** | 4 (20%) | 7 (25%) | 0.74 |
Lymphocytopenia*** | 8 (40%) | 14 (50%) | 0.56 |
Echocardiographic abnormalities | 19 (95%) | 4 (14.3%) | <0.0001 |
D-dimers (ng/ml)**** | 9652.5 (921 - 115668) | 1722 (190 - 95040) | 0.0003 |
C-reactive protein (mg/L)**** | 119.6 (0.38 - 447.7) | 14.6 (0.30 – 324) | 0.0046 |
Ferritin (ng/ml)**** | 1159 (58-35967) | 655 (25-2567) | 0.07 |
Troponin (ng/L)**** | 25 (9-385) | 16 (3-1050) | 0.028 |
Creatine kinase (CK-MB) (ng/ml)**** | 1.78 (0.3-30) | 1.65 (0.18-28.9) | 1 |
Death | 7 (35%) | 0 (0%) | 0.001 |
Confirmation of Sars-CoV-2 infection (RT-PCR/serology) | 11 (55%) | 28 (100%) | 0.0001 |
Values are expressed as n (%) or as median (range). Fisher exact test was used to compare categorical data. Mann-Whitney U test was used to compare non-normally distributed continuous variables. *Hematocrit at or below 2.5thpercentile for age, race, and sex at admission. **Platelet count < 100000/microL at admission; ***Lymphocyte count < 4,500/mm3in children under 8 months and < 1500/mm3in older ones at admission; ****Values correspond to the highest serum level obtained from each patient. PT: prothrombin time; PTT: partial thromboplastin time