Covid-19 related Paediatric Inflammatory Syndrome


Children can be affected by Covid-19. Most children have no symptoms or only mild symptoms. According to the Royal College of Paediatrics and Child Health “.. a small number have recently been identified who develop a significant systemic inflammatory response”.
What is Paediatric Inflammatory Response Syndrome?
The Royal College of Paediatrics and Child Health have provided information about this syndrome that can affect children infected with Covid-19. We have been assuming that children will experience either mild or no symptoms. It would appear that a small number of children are presenting with a severe inflammatory reaction.  The Covid-19 virus appears to be triggering a rare syndrome that causes reactions similar to toxic shock and bacterial sepsis.
What should I look for?
• Poorly child
• Fever
• Confusion, dizziness, fainting, listless
and maybe
• Swelling/Rash
• Vomiting / Diarrhoea
• Breathing difficulties
• Pain
• Swollen hands /Feet
How do I know if my child has a fever?
The NHS website tell us how to take a temperature . We know, from talking about sepsis, on our paediatric courses, that parents really worry about when they should call for help. As a parent you will know better that anyone when your child’s health has deteriorated so go with your gut feeling especially if:
• Your child has a fever and
• Your child’s usual pattern of behaviour for eating, drinking, sleeping, playing, crying, awareness, urination etc have changed and
• You see any of the symptoms above or different symptoms are getting worse
Don’t delay, call 111 or speak to your GP
It may not be Covid-19 but your child may have an infection that would benefit from medical intervention.

“While everyone is being told to stay at home, it can be hard to know what to do if your child is unwell. A high temperature can lead to a child being very unwell quickly. It’s important to get medical help if you need it.” NHS
Sources
https://www.rcpch.ac.uk/resources/guidance-paediatric-multisystem-inflammatory-syndrome-temporally-associated-covid-19 https://www.nhs.uk/conditions/fever-in-children/