Table 2.
Multisystem inflammatory syndrome in children | Kawasaki disease |
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Persistent fever with elevated inflammatory markers (CRP, neutrophils) and evidence of single or multi-organ dysfunction (cardiac, respiratory, renal, GI, or neurology) Exclusion of other microbial or infectious causes ± SARS-CoV-2 PCR Treatment: Supportive care, inotropic support, IVIG, aspirin, steroids, anakinra and infliximab |
Fever lasting for 5 or more days AND 4 of the 5 below: Bilateral conjunctival injection without exudate Erythema or cracking of the lips or erythema of the oral cavity Polymorphous exanthem Changes of peripheral extremities (edema or erythema) Acute non-purulent cervical lymphadenopathy Treatment: High-dose IVIG with aspirin |
CRP C-reactive protein, GI gastrointestinal, IVIG intravenous immunoglobulins, PCR polymerase chain reaction