SINGAPORE – There have been four cases of pediatric multisystem inflammatory syndrome (MIS-C) involving children so far, with a four-year-old being admitted to the Pediatric Intensive Care Unit (CICU) as of Saturday (November 6).
The Ministry of Health said in a media statement that the boy’s breathing helps him breathe. He was admitted to the CICU at KK Women’s and Children’s Hospital (KKH) on November 1. He previously tested positive for COVID-19 infection on September 24. The ministry said the pediatric teams at KKH are actively managing his care.”
The Ministry of Health added that such cases are considered rare and the four cases of pediatric MIS-C are among the more than 8,000 pediatric COVID-19 cases observed in Singapore since the start of the pandemic.
MIS-C is similar in presentation to Kawasaki disease. The latter has been linked to several viral or bacterial infections and affects 150 to 200 children in Singapore each year. Symptoms of MIS-C include persistent fever above 38.5°C for three or more days, with difficulty breathing; Headache; Precipitating swelling in the neck. Swelling of hands and feet. conjunctivitis; Diarrhea; stomachache.
In addition, there is a 2-month-old girl who was accepted into KKH General Ward on November 3. She had previously been admitted to KKH Hospital on October 12 with COVID-19 infection and was discharged from the hospital on October 19. The ministry said the baby’s condition is stable and does not require oxygen.
Other cases are:
A three-year-old boy was admitted to the National University Hospital (NUH) in the Pediatric Intensive Care Unit on October 16. He repeatedly tested negative for PCR, but his serological test results indicated that he may have had COVID-19 infection two to six weeks before he developed MIS-C. He has since recovered and was discharged from hospital on October 23.
An eight-year-old was admitted to the KKH CICU on October 27. He was previously diagnosed with COVID-19 infection on September 30. He has since recovered and was discharged from hospital on 1 November.
The Department of Health said that in May 2020, an international assessment from 26 countries reported an incidence of MIS-C of 0.14% – 14 in 10,000 – in all children with COVID-19 infection.
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