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Covid

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See all MNHQ comments on this thread

This is concerning

283 replies

owlstwooting · 27/04/2020 09:00

Significant alert in respect of Children and Paediatric shock. It has been reported that over the past three weeks, there has been a rise in the number of Children presenting with a multisystem inflammatory state requiring intensive care.

Looks legit, sadly

mobile.twitter.com/ThePalpitations/status/1254529121134264322

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DuLANGDuLANGDuLANG · 27/04/2020 12:54

That it is being noted at the peak of a pandemic wave isn't surprising. Doctors in Italy and Spain have also apparently noted children presenting in the same way in 'small but significant' numbers - significant from a medical perspective, not a lay persons perspective.

And worth reiterating for a new page that these kind of complications are sometimes observed in other viruses, including very common viruses (and similar serious complications can also be kicked off by bacterial infections, cancers, insect bites, allergies and medications). This statement is just a reminder to HCPs that while sever hyper inflammatory responses are uncommon, they are a possibility that needs to be kept in mind.

A GP might only see this kind of complication once in a whole career (we were lucky that our GP looked at my DD, looked at her notes and said ‘I don’t understand it, it doesn’t fit with anything I know, take her to A&E this afternoon and get her a blood test’ - she was on a ventilator 48 hours later).

UniversalAunt · 27/04/2020 13:14

As @vera99’s post: ‘Here is the tweet and replies - some doctors are worried as to how this has been presented.

twitter.com/PICSociety/status/1254508725227982848’.

There is plenty of media speculation & opinion about this story, BUT so far, the reliable source for this has not been established. The PIC Society source quoted by HSJ refers to a NHS England Source, but at this moment this has not been confirmed.

The PICSociety Twitter has many medics & non-medics commenting on how poor the communication of this study has been, & that the most immediate outcome of this news feed is alarm & possible panic rather than increasing knowledge & awareness in the primary health sectors where children are most likely to be first seen by a medic.

No doubt, children have been affected by many complex conditions recently - as usual - & some may be attributable to COVID-19.

UniversalAunt · 27/04/2020 13:21

Ah, the sweet fresh fragrant air of common sense...

’All viruses are capable of some weird ass stuff, the only difference is that doctors aren’t usually having to learn everything about one all at once, globally. Which is why slowing down the spread is so important, it gives them more time to understand what the virus is doing and how best to stop it.’

ThankYOUThankYOUThankYOU @DuLANGDuLANGDuLANG

MarginalGain · 27/04/2020 13:23

December 2019 was probably the time to be really concerned:

www.theguardian.com/society/2019/dec/29/nhs-picu-shortage-intensive-care-beds-critically-ill-children

JoMumsnet · 27/04/2020 14:47

Hello,

We’ve had a few reports about this thread from people who are concerned that some of the information shared here may not be accurate. While we’re not in a position to verify every claim posted on the boards, in general we're letting such threads run as we understand that many of our users want to talk about what they've seen on the news or on social media regarding all the issues surrounding the Coronavirus pandemic. We also know that Mumsnetters are very good at both challenging any spurious posts, or sharing evidence to corroborate others.

Our Press team has been in touch with the Royal College of Paediatrics and Child Health about this thread, and we thought we'd share their response here.

Commenting on reports of a COVID-19-related condition emerging in children, Professor Russell Viner, President of the Royal College of Paediatrics and Child Health, said:

"We already know that a very small number of children can become severely ill with COVID-19 but this is very rare - evidence from throughout the world shows us that children appear to be the part of the population least affected by this infection.

New diseases may present in ways that surprise us, and clinicians need to be made aware of any emerging evidence of particular symptoms or of underlying conditions which could make a patient more vulnerable to the virus.

However our advice remains the same: parents should be reassured that children are unlikely to be seriously ill with COVID-19 but if they are concerned about their children's health for any reason, they should seek help from a health professional."

Guidance for parents on symptoms and seeking advice.

EricaNernie · 27/04/2020 14:51

Thanks MNHQ

Xenia · 27/04/2020 14:53

Thanks and that confirms really that the thread is correct, not fake news and in my view is worth parents knowing (but don't get too worried about it).

NoMorePoliticsPlease · 27/04/2020 14:55

It is legit, was non the news this lunchtime

booboo24 · 27/04/2020 14:56

Sadly this has happened to my friend's daughter, she has been in hospital after having had the dreaded illness. She had sickness, and severe pain, her oxygen levels were also through the floor so she was rushed in by ambulance. They tested her for c-19, but suspected it was her appendix, then they thought it was a kidney infection, but antibiotics did nothing. She was in over a week the first time, home for 3 days and has now been in for a further 5 days. They can't find what's causing her temperature and this pain, but she now has fluid on her lungs too. The 4th lot of different antibiotics does seem to be working though so hopefully she will be allowed home soon, she is 13. Sadly it's very 'real'

RigaBalsam · 27/04/2020 15:00

Thanks and that confirms really that the thread is correct, not fake news and in my view is worth parents knowing (but don't get too worried about it).

I agree!

CaliforniaMountainSnake · 27/04/2020 15:00

This has been observed in children with confirmed PCR positive SARS-CoV-2 infection as well as children who are PCR negative.

So probably not a symptom of covid19. Could it be a symptom of not enough fresh air trapped inside with cleaning chemicles, chemicle treated furniture and in some cases accommodation full of damp and mould?

Quartz2208 · 27/04/2020 15:03

I think the report on which it is based is correct.

I think the media have a habit of sensationalising and I disagree with twitter being used as it takes medical information designed to be used by professionals into the hands of those who misread.

The medical report uses apparent rise. Daily Mail - sharp increase

As a PP said the word significant is used as medical terms to mean a correlation or that it is reliable. So in effect a small number are having this from CV.

We see significant in a different way as in this meaning

sufficiently great or important to be worthy of attention; noteworthy.
"a significant increase in sales"

Something can be legitimate but reported by the media is such as way as to generated unnecessary concern

RigaBalsam · 27/04/2020 15:03

This has been observed in children with confirmed PCR positive SARS-CoV-2 infection as well as children who are PCR negative.

So probably not a symptom of covid19. Could it be a symptom of not enough fresh air trapped inside with cleaning chemicles, chemicle treated furniture and in some cases accommodation full of damp and mould?

Could it be because the virus had gone ( ie they had it, just not when tested) or tests inaccurate but it caused further problems like the mumps and infertility? I don't know. Is that possible?

TartanTexan · 27/04/2020 15:08

Agree Quartz and taken out of context, with other factors, it could help push schools reopening etc much further down track etc.

Although of course caution & fair investigation wise.

EdgarAllenCrow · 27/04/2020 15:08

It could be anything or it could be nothing.

I'm a HCP and we get 'alerts' like this all the time. Pre-COVID it wouldn't have been publicised and I don't think it's helpful that if has been now.

vera99 · 27/04/2020 15:09

LBC will be having PICS on shortly with Shelia Fogarty to talk about this.

RigaBalsam · 27/04/2020 15:13

Agree Quartz and taken out of context, with other factors, it could help push schools reopening etc much further down track etc.

Although of course caution & fair investigation wise.

Ot too soon if we look at other sensational headlines.

This is concerning
owlstwooting · 27/04/2020 15:14

@booboo24 sorry to hear about your friend's DD, I really hope she makes a quick recovery

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owlstwooting · 27/04/2020 15:19

Wasn't trying to scaremonger. We were told previously that Children barely catch Covid19, and that Children aren't affected as badly as adults. This may still be true, I'm hoping so much that it is, but imo we need to see more studies on this, backed up by more testing, so we can know more about any risks.

Thanks vera99 I'll watch that

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booboo24 · 27/04/2020 15:33

Thank you owlstwooting

RigaBalsam · 27/04/2020 15:36

Delayed treatment is shocking.

TabbyMumz · 27/04/2020 15:38

It is legit. It's been reported widely now.

LittleAndOften · 27/04/2020 15:40

Updated tweet from PICS says info "was intended for medical professionals" and have attached a formal doc to the tweet. New tweet downplays this as affecting only a small number and "may" be related to covid-19.

Methinks someone got over-zealous with their social media...

Quartz2208 · 27/04/2020 15:42

@bumblingbovine49 that is interesting because the initial study has said that some had CV some didnt.

So another hypothesis could be that there are more of these reactions are appearing because things are not being treated. That medical care is not available so it is getting to the stage where urgent treatment is needed.

We need a clear campaign now to get children looked at where medical advice is needed because there is a higher risk from that than from CV itself.

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