Table 1 The symptoms and features of the children with multisystem inflammatory syndrome in children
Presenting symptoms | Group I (IVIG alone) (%) | Group II (IVIG plus steroid) (%) | Total Number (%) | P value |
|---|---|---|---|---|
Fever | 42(100) | 49 (100) | 91(100) | |
Cough | 8(19.0%) | 2 (4.1%) | 10 (11.0) | 0.04 |
Abdominal pain | 13(31.0) | 19(38.8) | 32(35.2) | > 0.05 |
Chest pain | 1(2.4) | 2(4.1) | 3(3.3) | > 0.05 |
Vomitting | 11(26.2) | 22(44.9) | 33(36.3) | > 0.05 |
Diarrhea | 10(23.8) | 17(34.7) | 27(29.7) | > 0.05 |
Rash | 11(26.2) | 17(34.7) | 28(30.8) | > 0.05 |
Edema of the extremities | 6(14.3) | 8(16.3) | 14 (15.4) | > 0.05 |
Periungal desquamation | 5(11.9) | 2(4.1) | 7(7.7) | NA |
Conjuctivitis | 12 (28.6) | 17 (34.7) | 29(31.9) | > 0.05 |
Headache | 1 (2.4) | 4(8.3) | 5(5.5) | NA |
Cervical Lympadenopathy | 4(9.5) | 4(8.2) | 8(8.8) | NA |
Clinical evaluation | ||||
Hypotension | 4(9.5) | 15 (30.6) | 19(20.9) | 0.014 |
Tachycardia | 10 (23.8) | 10 (20.4) | 20(22.0) | > 0.05 |
Tachypnea | 4(9.5%) | 4 (8.2) | 8(8.8) | > 0.05 |
Echo findings | ||||
Systolic dysfunction | 3(7.1) | 7(14.3) | 10(11) | > 0.05 |
Coronary artery involvement | 4(9.5) | 1(2.0) | 5(5.5) | NA |
Pericardial effusion | - | 1(2.0) | 1(1.1) | NA |
Mitral valve regurgitation | 15(35.7) | 18(36.7) | 33(36.2) | > 0.05 |
Severity score | 0.01* | |||
Mild | 28(66.7) | 23 (46.9) | 51(56.0) | |
Moderate | 10( 23.8) | 8 (16.3) | 18 (19.8) | |
Severe | 4(9.5) | 18(36.7) | 22(24.2) | |
Admission to PICU | 6 (14.3) | 16(32.7) | 22(24.2) | 0.032 |