Children’s immunologic response from COVID-19: Clinical condition anda symptomatology
DOI:
https://doi.org/10.33448/rsd-v12i8.42870Keywords:
SARS-CoV-2; Children; PIMS.Abstract
With the emergence of SARS-CoV-2, a respiratory syndrom has manifested in mass population, but they believe that it didn’t cause syntoms or complications for children, however in 2020, The United Kingdom issued an alert note about a condition very similiar to the one presented in adults. Facing it, some other countries started to notify similar cases and the Pedriaric Inflammatory Multisystem Syndrome (PIMS) was discovered, a complication observed in children who was infected by the COVID-19 virus. This Project is aimed to condense the main informations about the envolved mechanisms, from the narrative reviews using na eletronic data base. In its pathophysiology, an inflammatory cytokines storm is observed that occurs after the entrance of the vírus in the host cells from angiotensin-converting enzyme 2, that after will bring syntoms and determined its severity. Related to clinic condition, the most reported symptom is high fever, that could be associated to another signs, which can develop and cause complications. About the diagnosis, firstly, a very precise clinic analisys must be performed, followed by laboratory tests, in addition to associating imaging exams. Lastly, there isn’t a defined treatment protocol yet, being carried out in an individualized way, aiming each patient support, besides of therapeutic measures to reduce inflammation and restore organic functions. In conclusion, due to the reduction of cases there are less and less studies leaving many gaps about the disease.
References
Almeida, J. M. De, & Leão, K. A. (2022). Síndrome Inflamatória Multissistêmica Pediátrica (SIM-P): Um alerta sobre a exposição infantil à COVID-19 / Multisystem Inflammatory Syndrome in Children (MIS-C): A warning about children’s exposure to COVID-19. Brazilian Journal of Health Review, 5(1), 907–927. https://doi.org/10.34119/bjhrv5n1-077
Balasubramanian, S., Nagendran, T. M., Ramachandran, B., & Ramanan, A. V. (2020). Hyper inflammatory Syndrome in a Child With COVID-19 Treated Successfully With Intravenous Immunoglobulin and Tocilizumab. Indian Pediatrics, 57(7), 681–683. https://doi.org/10.1007/s13312020-1901-z
Brandão, M. L. L., Rodrigues, F. O. S., Gomes, L. B., Netto, E. L. B., Moura, B. N. G. de, Lopes, B. C., Menezes, R. V. de A., Amaral, L. A. do, Pereira, B. F. B., Campos, T. F., Aquino, I. P. de, & Oliveira, D. L. V. de. (2021). Síndrome Inflamatória Multissistêmica Pediátrica (SIM-P): Uma análise epidemiológica brasileira. Research, Society and Development, 10(9), e44710918154. https://doi.org/10.33448/rsd-v10i9.1815
Brasil. (2023). NOTA TÉCNICA N.º 23/2022-CGGRIPE/DEIDT/SVS/MS. Coordenação Geral de Vigilância das Síndromes Gripais. Brasília, DF, 02 jan. 2023
Campos, L., Almeida, R., Goldenzon, A., Rodrigues, M., Sztajnbok, F., Lino, K., Nogueira, K., Silva, R., & Fonseca, A. (2021). Multisystem Inflammatory Syndrome In Children (MIS-C) Temporally Associated With COVID-19 - An Update. Residência Pediátrica, 11(1). https://doi.org/10.25060/residpediatr-2021.v11n1-574
Farias, G. L., & e Sousa, M. N. A. (2022). Síndrome inflamatória multissistêmica pediátrica enquanto complicação da covid-19 e um desafio para médicos: Revisão integrativa. Revista Ciência Plural, 8(1), e25286. https://pesquisa.bvsalud.org/portal/resource/pt/biblio-1348732
Ferreira, B. W. R. C., Gusmão, A. B. de, Leon, P. A. P. de, Ferreira, R. K. G., & Macedo, C. L. (2021). Síndrome Inflamatória Multissistêmica Pediátrica (SIM-P) temporariamente associada à COVID-19: um levantamento das características clínicas e epidemiológicas. Research, Society and Development, 10(3), e5710313020. https://doi.org/10.33448/rsd-v10i3.13020
Fontes, L., Saavcdra, R., Carvalho J., Broucke, V., Araújo, F. & Menezes, G. (2020). Síndrome inflamatória multissistêmica pediátrica (SIM-P) na bahia, em 2020. Revista Baiana de Saúde Pública, 45(1), 46-61. 10.22278/2318-2660.2021.v45.NEspecial_1.a3288
Garros, D., & Freire, N. (2022). MIS-C: uma revisão de literatura. In Pantanal Editora eBooks. https://doi.org/10.46420/9786581460365
Lima, B. R. N., Arrais, A. O., Oliveira, A. M. B., Silva, C. L. do N., Batista, M. E. T., & Cândido, E. L. (2021). Mapeamento da Síndrome Inflamatória Multissistêmica Pediátrica associada à COVID-19 no Brasil. Saúde (Santa Maria), 47(1). https://doi.org/10.5902/2236583466184
Oliveira, P. V. G., Leitão, E. L., Recla, F. P., Barreto, G. G. da S., Pereira, J. F. S., Filho, J. C. de C. e S., Gomes, M. B. V., Júnior, T. M. A. F. & Martins, I. R. R. (2023). Síndrome Inflamatória Multissistêmica Pediátrica (SIM-P) relacionada à COVID-19: um alerta necessário. Recima21, 4(3), e432918–e432918. https://doi.org/10.47820/recima21.v4i3.2918
Organização Mundial de Saúde. (2023). Atualização epidemiologica sobre a COVID-19. Genebra, Suíça, 22 de junho de 2023.
Patel, A. B., & Verma, A. (2020). Nasal ACE2 Levels and COVID-19 in Children. JAMA. https://doi.org/10.1001/jama.2020.8946
Relvas-Brandt, L. de A., Gava, C., Camelo, F. S., Porto, V. B. G., Alves, R. F. S., Costa, M. S. C. D., Carvalho, S. M. D., Carmo, G. M. I. do, Fantinato, F. F. S. T., Wada, M. Y., Mendes, Y. M. M. B. e, Vieira, M. G., Steenhouwer, R. B., Branco, K. M. P. C., Santos, M. V. C. dos, Rivera, I. R., Nicoloso, L. H., Safadi, M. A. P., & Assis, D. M. de. (2021). Síndrome inflamatória multissistêmica pediátrica: estudo seccional dos casos e fatores associados aos óbitos durante a pandemia de COVID-19 no Brasil, 2020. Epidemiologia E Serviços de Saúde, 30, e2021267. https://doi.org/10.1590/s1679-49742021000400005
Santos, B. S. dos, Santos, F. S. dos, & Ribeiro, E. R. (2021). Clinical-epidemiological relation between sars-cov-2 and kawasaki disease: an integrative literature. Revista Paulista de Pediatria, 39. https://doi.org/10.1590/1984-0462/2021/39/2020217
Santos, M. S. dos, & Andrighetto, S. S. M. T. (2022). Síndrome Inflamatória Multissistêmica Pediátrica e Doença de Kawazaki: as diferenças e manifestações clínicas na Pediatria. Revista Eletrônica Acervo Médico, 2, e9740. https://doi.org/10.25248/reamed.e9740.2022
Silva, A. N. C. R. da, Malta, A. L. da S., Chacon, L. G., Freire, M. Q., Dionízio, D. L. (2022). Síndrome inflamatória multissistêmica pediátrica (SIM-P) temporalmente associada ao SARS-CoV-2. Brasília Med., 59, 1-9. https://doi.org/10.5935/2236-5117.2022v59a245
Silveira, M. A. A., Martins, B. A., Chamon, L. S. F. G., Diniz, A. E. D., Assis, J. B. de, Ferreira, L. D. T., Macêdo, M. F. de S., Verdin, M. P., Pereira, W. P. C., & Mendes, H. de C. (2021). Aspectos das manifestações da síndrome pós-COVID-19: uma revisão narrativa. Revista Eletrônica Acervo Saúde, 13(12), e9286. https://doi.org/10.25248/reas.e9286.2021
Vilaça, J. L. L., Spagnoly, Y. G. L., Molinero, F. C. de A., Figueredo, A. M. C., Ferreira, M. H. L., Arruda, N. E. N. de S., Souza, V. L. da S., Cunha, R. V. C., Fernandes, B. F. N. (2023). Síndrome hiper inflamatória multissistemica pediátrica. Brazilian Journal of Helath Review, 6(2), 6383–6390. https://doi.org/10.34119/bjhrv6n2-154
Volpat, A. T., Gomes, E. M. de S., Cunha, E. T., Vilaça, H. M., Mayrink, L. B., Hilarino, L. V., Guimarães, M. R. de A., Pereira, T. R. F., Guimarães, M. P., Rosa, P. M. da S., Campos, A. L. R., Cândido, B. O., Oliveira, I. L. de, Nascimento, G. H. V., Germano, N. B., Mendes, R. L. C., Alvim, A. L. (2020). Síndrome inflamatória multissistêmica em crianças e adolescentes com COVID-19: uma revisão de literatura. Official Journal Of The Brazilian Association Of Infection Control And Hospital Epidemiology, 9(3), 23-26.
Sood, M., & Sharma, S. (2021). Emerging Evidence on Multisystem Inflammatory Syndrome in Children Associated with SARS-CoV-2 Infection”. SN Comprehensive Clinical Medicine, 3(9), 2000–2001. https://doi.org/10.1007/s42399-021-01010-2.
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