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. 2022 Mar 5;23(3):277–286. doi: 10.1007/s40257-022-00675-2

Table 2.

Diagnostic criteria and treatments for multisystem inflammatory syndrome in children and Kawasaki disease

Multisystem inflammatory syndrome in children Kawasaki disease

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