Multisystem inflammatory syndrome in children (MIS-C) during SARS-CoV-2 pandemic in Brazil: a multicenter, prospective cohort study (preprint)
| Autor(a) principal: | |
|---|---|
| Data de Publicação: | 2020 |
| Outros Autores: | , , , , , , , , , , , , , , , , , , , , , , |
| Tipo de documento: | Artigo |
| Idioma: | eng |
| Título da fonte: | Repositório Institucional da FIOCRUZ (ARCA) |
| Texto Completo: | https://www.arca.fiocruz.br/handle/icict/44605 |
Resumo: | Instituto D'Or de Pesquisa e Ensino. Departamento de Pediatria. Rio de Janeiro, RJ, Brasil / Fundação Oswaldo Cruz. Instituto Nacional de Saúde da Mulher, da Criança e do Adolescente Fernandes Figueira. Unidade de Pacientes Graves. Rio de Janeiro, RJ, Brasil. |
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Lima-Setta, FernandaMagalhães-Barbosa, Maria Clara deRodrigues-Santos, GustavoFigueiredo, Elaine Augusta das NevesJacques, Melissa de LorenaZeitel, Raquel de SeixasSapolnik, RobertoBorges, Cibelle Teixeira da SivaLanziotti, Vanessa SoaresCastro, Roberta Esteves Vieira deBellinat, Ana Paula NovaesSilva, Thiago Peres daOliveira, Felipe Rezende Caino deReis, Bárbara Carvalho Santos dosCastro, Natália Almeida de Arnaldo Silva RodriguezMacedo, João Henrique Garcia CobasScarlato, Ana Carolina Cabral PinheiroRiveiro, Paula MarinsMota, Isabele Coelho Fonseca daLorenzo, Vivian BotelhoLucena, Natalia Martins Lima deAzevedo, Zina Maria Almeida deCunha, Antonio José Ledo AlvesPrata-Barbosa, Arnaldo2020-11-24T15:36:38Z2020-11-24T15:36:38Z2020LIMA-SETTA, Fernanda et al. Multisystem inflammatory syndrome in children (MIS-C) during SARS-CoV-2 pandemic in Brazil: a multicenter, prospective cohort study. Jornal de Pediatria, p. 1-8, 9 Nov. 2020.0021-7557https://www.arca.fiocruz.br/handle/icict/4460510.1016/j.jped.2020.10.008engElsevierhttps://www.arca.fiocruz.br/handle/icict/51479SARS-CoV-2Síndrome inflamatória multissistema em criançasMIS-CCoronavírusCOVID-19CriançasSARS-CoV-2Multisystem inflammatory syndrome in childrenMIS-CCoronavirusCOVID-19ChildrenMultisystem inflammatory syndrome in children (MIS-C) during SARS-CoV-2 pandemic in Brazil: a multicenter, prospective cohort study (preprint)info:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleInstituto D'Or de Pesquisa e Ensino. Departamento de Pediatria. Rio de Janeiro, RJ, Brasil / Fundação Oswaldo Cruz. Instituto Nacional de Saúde da Mulher, da Criança e do Adolescente Fernandes Figueira. Unidade de Pacientes Graves. Rio de Janeiro, RJ, Brasil.Instituto D'Or de Pesquisa e Ensino. Departamento de Pediatria. Rio de Janeiro, RJ, Brasil.Instituto D'Or de Pesquisa e Ensino. Departamento de Pediatria. Rio de Janeiro, RJ, Brasil.Hospital Pediátrico Unimed. Belém, PA, Brasil.Hospital Quinta D'Or. Rio de Janeiro, RJ, Brasil / Universidade do Estado do Rio de Janeiro. Rio de Janeiro, RJ, Brasil.Hospital Universitário Pedro Ernesto. Rio de Janeiro, RJ, Brasil.Hospital São Rafael. Salvador, BA, Brasil.Hospital São Camilo Cura d'Ars. Fortaleza, PE, Brasil.Universidade Federal do Rio de Janeiro. Rio de Janeiro, RJ, Brasil.Hospital Universitário Pedro Ernesto. Rio de Janeiro, RJ, Brasil.Hospital Martagão Gesteira. Salvador, BA, Brasil.Hospital Real D'Or. Rio de Janeiro, RJ, Brasil.Hospital Alvorada Moema. Moema, SP, Brasil.Complexo Hospitalar de Niterói. Niterói, RJ, Brasil.Hospital da Criança. Faculdade de Medicina. Departamento de Pediatria. São José do Rio Preto, SP, Brasil.Hospital Copa D'Or. Rio de Janeiro, RJ, Brasil.Hospital Rios D'Or. Rio de Janeiro, RJ, Brasil.Hospital Caxias D'Or. Duque de Caxias, RJ, Brasil.Hospital Pro Criança Jutta Batista. Rio de Janeiro, RJ, Brasil.Hospital Couto Maia. Salvador, BA, Brasil.Hospital Monte Klinikum. Fortaleza, CE, Brasil.Fundação Oswaldo Cruz. Instituto Nacional de Saúde da Mulher, da Criança e do Adolescente Fernandes Figueira. Unidade de Pacientes Graves. Rio de Janeiro, RJ, Brasil.Instituto D'Or de Pesquisa e Ensino. Departamento de Pediatria. Rio de Janeiro, RJ, Brasil / Universidade Federal do Rio de Janeiro. Rio de Janeiro, RJ, Brasil.Instituto D'Or de Pesquisa e Ensino. Departamento de Pediatria. Rio de Janeiro, RJ, Brasil / Universidade Federal do Rio de Janeiro. Rio de Janeiro, RJ, Brasil.Objective: To describe the clinical, laboratory, and radiological characteristics, as well as theoutcomes of children with MIS-C. Method: Multicenter, prospective cohort study, conducted in 17 pediatric intensive care units in five states in Brazil, from March to July 2020. Patients from 1 month to 19 years who met the MIS-C diagnostic criteria were included consecutively. Results: Fifty-six patients were included, with the following conditions: Kawasaki-like disease(n = 26), incomplete Kawasaki disease (n = 16), acute cardiac dysfunction (n = 10), toxic shock syndrome (n = 3), and macrophage activation syndrome (n = 1). Median age was 6.2 years (IQR2.4−10.3), 70% were boys, 59% were non-whites, 20% had comorbidities, 48% reported a contact with COVID-19 cases, and 55% had a recent SARS-CoV-2 infection confirmed by RT-PCR and/or serology. Gastrointestinal symptoms were present in 71%, shock symptoms in 59%, and severe respiratory symptoms in less than 20%. d-Dimer was increased in 80% and cardiac dysfunction markers in more than 75%. Treatment included immunoglobulin (89%); corticosteroids, antibi-otics, and enoxaparin in about 50%; and oseltamivir and antifungal therapy in less than 10%. Only 11% needed invasive mechanical ventilation, with a median duration of five days (IQR 5---6.5). The median length of PICU stay was six days (IQR 5---11), and one death occurred (1.8%). Conclusions: Most characteristics of the present MIS-C patients were similar to that of other cohorts. The present results may contribute to a broader understanding of SARS-CoV-2 infection in children and its short-term consequences. Long-term multidisciplinary follow-up is needed, since it is not known whether these patients will have chronic cardiac impairment or other sequelae.NãoPublicadoinfo:eu-repo/semantics/openAccessreponame:Repositório Institucional da FIOCRUZ (ARCA)instname:Fundação Oswaldo Cruz (FIOCRUZ)instacron:FIOCRUZLICENSElicense.txtlicense.txttext/plain; charset=utf-83132https://www.arca.fiocruz.br/bitstream/icict/44605/1/license.txt33967fcc8ef681b8f5c2c34178ebc114MD51ORIGINALLima-Setta_Fernanda_etal_IFF_2020_COVID-19_PREPRINT.pdfLima-Setta_Fernanda_etal_IFF_2020_COVID-19_PREPRINT.pdfapplication/pdf819820https://www.arca.fiocruz.br/bitstream/icict/44605/2/Lima-Setta_Fernanda_etal_IFF_2020_COVID-19_PREPRINT.pdff2bf7be1e8de3720c0f81b39fb9b2604MD52TEXTLima-Setta_Fernanda_etal_IFF_2020_COVID-19_PREPRINT.pdf.txtLima-Setta_Fernanda_etal_IFF_2020_COVID-19_PREPRINT.pdf.txtExtracted 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| dc.title.en.fl_str_mv |
Multisystem inflammatory syndrome in children (MIS-C) during SARS-CoV-2 pandemic in Brazil: a multicenter, prospective cohort study (preprint) |
| title |
Multisystem inflammatory syndrome in children (MIS-C) during SARS-CoV-2 pandemic in Brazil: a multicenter, prospective cohort study (preprint) |
| spellingShingle |
Multisystem inflammatory syndrome in children (MIS-C) during SARS-CoV-2 pandemic in Brazil: a multicenter, prospective cohort study (preprint) Lima-Setta, Fernanda SARS-CoV-2 Síndrome inflamatória multissistema em crianças MIS-C Coronavírus COVID-19 Crianças SARS-CoV-2 Multisystem inflammatory syndrome in children MIS-C Coronavirus COVID-19 Children |
| title_short |
Multisystem inflammatory syndrome in children (MIS-C) during SARS-CoV-2 pandemic in Brazil: a multicenter, prospective cohort study (preprint) |
| title_full |
Multisystem inflammatory syndrome in children (MIS-C) during SARS-CoV-2 pandemic in Brazil: a multicenter, prospective cohort study (preprint) |
| title_fullStr |
Multisystem inflammatory syndrome in children (MIS-C) during SARS-CoV-2 pandemic in Brazil: a multicenter, prospective cohort study (preprint) |
| title_full_unstemmed |
Multisystem inflammatory syndrome in children (MIS-C) during SARS-CoV-2 pandemic in Brazil: a multicenter, prospective cohort study (preprint) |
| title_sort |
Multisystem inflammatory syndrome in children (MIS-C) during SARS-CoV-2 pandemic in Brazil: a multicenter, prospective cohort study (preprint) |
| author |
Lima-Setta, Fernanda |
| author_facet |
Lima-Setta, Fernanda Magalhães-Barbosa, Maria Clara de Rodrigues-Santos, Gustavo Figueiredo, Elaine Augusta das Neves Jacques, Melissa de Lorena Zeitel, Raquel de Seixas Sapolnik, Roberto Borges, Cibelle Teixeira da Siva Lanziotti, Vanessa Soares Castro, Roberta Esteves Vieira de Bellinat, Ana Paula Novaes Silva, Thiago Peres da Oliveira, Felipe Rezende Caino de Reis, Bárbara Carvalho Santos dos Castro, Natália Almeida de Arnaldo Silva Rodriguez Macedo, João Henrique Garcia Cobas Scarlato, Ana Carolina Cabral Pinheiro Riveiro, Paula Marins Mota, Isabele Coelho Fonseca da Lorenzo, Vivian Botelho Lucena, Natalia Martins Lima de Azevedo, Zina Maria Almeida de Cunha, Antonio José Ledo Alves Prata-Barbosa, Arnaldo |
| author_role |
author |
| author2 |
Magalhães-Barbosa, Maria Clara de Rodrigues-Santos, Gustavo Figueiredo, Elaine Augusta das Neves Jacques, Melissa de Lorena Zeitel, Raquel de Seixas Sapolnik, Roberto Borges, Cibelle Teixeira da Siva Lanziotti, Vanessa Soares Castro, Roberta Esteves Vieira de Bellinat, Ana Paula Novaes Silva, Thiago Peres da Oliveira, Felipe Rezende Caino de Reis, Bárbara Carvalho Santos dos Castro, Natália Almeida de Arnaldo Silva Rodriguez Macedo, João Henrique Garcia Cobas Scarlato, Ana Carolina Cabral Pinheiro Riveiro, Paula Marins Mota, Isabele Coelho Fonseca da Lorenzo, Vivian Botelho Lucena, Natalia Martins Lima de Azevedo, Zina Maria Almeida de Cunha, Antonio José Ledo Alves Prata-Barbosa, Arnaldo |
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author author author author author author author author author author author author author author author author author author author author author author author |
| dc.contributor.author.fl_str_mv |
Lima-Setta, Fernanda Magalhães-Barbosa, Maria Clara de Rodrigues-Santos, Gustavo Figueiredo, Elaine Augusta das Neves Jacques, Melissa de Lorena Zeitel, Raquel de Seixas Sapolnik, Roberto Borges, Cibelle Teixeira da Siva Lanziotti, Vanessa Soares Castro, Roberta Esteves Vieira de Bellinat, Ana Paula Novaes Silva, Thiago Peres da Oliveira, Felipe Rezende Caino de Reis, Bárbara Carvalho Santos dos Castro, Natália Almeida de Arnaldo Silva Rodriguez Macedo, João Henrique Garcia Cobas Scarlato, Ana Carolina Cabral Pinheiro Riveiro, Paula Marins Mota, Isabele Coelho Fonseca da Lorenzo, Vivian Botelho Lucena, Natalia Martins Lima de Azevedo, Zina Maria Almeida de Cunha, Antonio José Ledo Alves Prata-Barbosa, Arnaldo |
| dc.subject.other.pt_BR.fl_str_mv |
SARS-CoV-2 Síndrome inflamatória multissistema em crianças MIS-C Coronavírus COVID-19 Crianças |
| topic |
SARS-CoV-2 Síndrome inflamatória multissistema em crianças MIS-C Coronavírus COVID-19 Crianças SARS-CoV-2 Multisystem inflammatory syndrome in children MIS-C Coronavirus COVID-19 Children |
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SARS-CoV-2 Multisystem inflammatory syndrome in children MIS-C Coronavirus COVID-19 Children |
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Instituto D'Or de Pesquisa e Ensino. Departamento de Pediatria. Rio de Janeiro, RJ, Brasil / Fundação Oswaldo Cruz. Instituto Nacional de Saúde da Mulher, da Criança e do Adolescente Fernandes Figueira. Unidade de Pacientes Graves. Rio de Janeiro, RJ, Brasil. |
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2020 |
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2020-11-24T15:36:38Z |
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2020-11-24T15:36:38Z |
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2020 |
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info:eu-repo/semantics/publishedVersion |
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info:eu-repo/semantics/article |
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article |
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LIMA-SETTA, Fernanda et al. Multisystem inflammatory syndrome in children (MIS-C) during SARS-CoV-2 pandemic in Brazil: a multicenter, prospective cohort study. Jornal de Pediatria, p. 1-8, 9 Nov. 2020. |
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https://www.arca.fiocruz.br/handle/icict/44605 |
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0021-7557 |
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10.1016/j.jped.2020.10.008 |
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LIMA-SETTA, Fernanda et al. Multisystem inflammatory syndrome in children (MIS-C) during SARS-CoV-2 pandemic in Brazil: a multicenter, prospective cohort study. Jornal de Pediatria, p. 1-8, 9 Nov. 2020. 0021-7557 10.1016/j.jped.2020.10.008 |
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Elsevier |
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