Children

Since the beginning of the COVID-19 pandemic, children have been the least affected group, but doctors around the world are warning healthcare professionals that they can suffer from a multi-system inflammatory state requiring intensive care. In fact, the clinical presentation can share similarities with toxic shock syndrome or Kawasaki disease. Not all of the children in this state were confirmed to have COVID-19. Also, children can present with abdominal pain and gastrointestinal symptoms that can lead to shock or heart problems according to Spain’s Association of Pediatrics.

Maria Cheng. European doctors warn rare kids’ syndrome may have coronavirus tie. USA Today. April 28, 2020.

Original article: https://www.usatoday.com/story/news/world/2020/04/28/coronavirus-doctors-warn-kawasaki-disease-may-have-covid-19-tie/3038537001/

The Canadian Paediatric Surveillance Program (CPSP) is warning doctors and parents that skin manifestations, looking like pernio, can be a common presentation among children, even without respiratory symptoms. These are blueish-red lesions that can be painful and warm. They affect mostly the top and the underside of the foot, the toes and can be accompanied by cracked or dry skin. Unfortunately, there is no specific treatment in these cases.

Doctors should therefore suspect COVID-19 when these manifestations occur, and report all cases of COVID-19 positive children with skin lesions to the CPSP. 

Brooklyn Neustaeter. Pediatricians warned about ‘COVID toes’ in children infected with COVID-19. CTV News. April 27, 2020.

Original article: https://www.ctvnews.ca/health/coronavirus/pediatricians-warned-about-covid-toes-in-children-infected-with-covid-19-1.4913770

The National Health Service (NHS) in England is warning doctors that the pediatric population testing positive for COVID-19 can have presentations similar to toxic shock syndrome and atypical Kawasaki disease. Manifestations such as abdominal pain, other gastrointestinal symptoms and cardiac inflammation have been reported. A disproportionate inflammatory response could be responsible for these symptoms.

Amy Woodyatt and Jacqueline Howard. Coronavirus could be tied to a rare but serious illness in children: U.K. doctors. CTV News. April 27, 2020.

Original article: https://www.ctvnews.ca/health/coronavirus/coronavirus-could-be-tied-to-a-rare-but-serious-illness-in-children-u-k-doctors-1.4913764

Paediatricians suggest that parents respect the immunization calendar for their children, despite the current crisis. The risk of contracting COVID-19 is limiting the vaccine coverage, and this may cause herd immunity to become weaker.

La Presse. Vaccination des enfants: les parents invités à respecter le calendrier. April 22, 2020.

Original article: https://www.lapresse.ca/covid-19/202004/22/01-5270375-vaccination-des-enfants-les-parents-invites-a-respecter-le-calendrier.php

Doctors at the Sainte-Justine Hospital are confronted with an increase in Kawasaki disease among children, though not all tested positive for COVID-19. This phenomenon has also been reported in other countries around the world.

Janie Gosselin. Corrélation possible entre une maladie inflammatoire infantile et la COVID-19. La Presse. April 29, 2020.

Original article: https://www.lapresse.ca/covid-19/202004/29/01-5271462-correlation-possible-entre-une-maladie-inflammatoire-infantile-et-la-covid-19.php