Malaysia just announced that 174 children suffered from MIS-C, after contracting COVID-19!
Find out what MIS-C is all about, and why it’s so dangerous to children with COVID-19.
COVID-19 With MIS-C : Why Is It Dangerous For Children?
Many children who get infected with COVID-19 run the risk of getting MIS-C, which is short for Multisystem Inflammatory Syndrome in Children.
MIS-C is a condition in which multiple organs in the child becomes inflamed – heart, lungs, kidneys, brain, eyes, and the gastrointestinal organs.
While COVID-19 may generally be mild for children, many of those who develop MIS-C require ICU care and even then, it can turn deadly.
Malaysia : 174 Children With COVID-19 Developed MIS-C!
On 19 February 2022, the Multisystem Inflammatory Syndrome in Children (MIS-C) Malaysia Study Group released their results.
The group looked at MIS-C cases in 14 Malaysian hospitals from June 2020 to December 2021, and here was what they found :
- 174 children with COVID-19 suffered from MIS-C
- 100 (57%) of them were children 5-11 years in age
- The majority of cases required PICU (Paediatric Intensive Care Unit) care
- 7 (4%) of them died, despite getting PICU care
Here is the breakdown of those cases by age groups :
| Age Group | MIS-C Cases |
| < 1 year old | 25 (14.4%) |
| 1 to < 5 years old | 38 (21.8%) |
| 5 to < 9 years old | 64 (36.8%) |
| 9 to < 12 years old | 36 (20.7%) |
| ≥ 12 years old | 11 (6.3%) |
| TOTAL | 174 |
While the risk of developing MIS-C from COVID-19 is low, the consequences are serious.
The majority of children developing MIS-C from COVID-19 required PICU care, and despite getting that, seven (4%) of them died.
Shockingly, all of the affected children had left ventricle dysfunction, with 68% developing shock and almost 29% developing cardiac failure requiring VA ECMO – a heart-lung machine.
Here is the breakdown of symptoms seen in children who developed MIS-C after contracting COVID-19.
| MIS-C Conditions / Treatment Required |
Percentage Affected |
| Fever > 4 days + Asthenia * | 100% |
| Left ventricle dysfunction – Shock – VA ECMO – Coronary dilatation – Pericarditis |
100% 68% 28.6% 17% 8% |
| Bulbar conjunctivitis | 89% |
| Digestive Involvement – Nausea, diarrhoea – Exploratory laparascopy |
83% 83% 5.7% |
| Cervical + mesenteric lymphadenopathies |
60% |
| Skin rash | 57% |
| Red and cracked lips | 54% |
| Neurological signs | 31% |
| Respiratory signs | 34% |
* Asthenia = generalised physical weakness or lack of energy
MIS-C In Children With COVID-19 : What To Look For?
Parents of children who contract COVID-19 should keep a vigilant eye out for potential symptoms of MIS-C.
Please see medical attention if your child has ongoing fever, with at least one of these symptoms :
- stomach pain
- bloodshot eyes
- diarrhoea
- dizziness or lightheadedness
- skin rash
- vomiting
Parents should also seek emergency care, if their child develops :
- breathing difficulties
- persistent pain or pressure in the chest
- confusion
- inability to wake, or stay awake
- pale, grey, or blue-coloured skin, lips or nail beds
How To Prevent MIS-C In Children With COVID-19?
The easiest and most effective way to prevent MIS-C in children, is to prevent them getting COVID-19 in the first place.
COVID-19 preventive measures like wearing face masks + face shield, as well as maintaining social distance and hand hygiene work.
However, those measures can only do so much against highly-contagious variants. It is also very important that children be fully-vaccinated against COVID-19.
The approved Pfizer paediatric vaccine for COVID-19 is 90% effective in preventing COVID-19 in children 5-11 years in age, while the Pfizer vaccine for adolescents and adults are 95% effective against COVID-19.
So protect your children against MIS-C, by vaccinating them against COVID-19!
Read more : What To Do Before, During, After COVID-19 Vaccine For Kids!
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Dr. Adrian Wong has been writing about tech and science since 1997, even publishing a book with Prentice Hall called Breaking Through The BIOS Barrier (ISBN 978-0131455368) while in medical school.
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