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Tuesday, March 18, 2025

Doctors report 25 cases of Multisystem Inflammatory Syndrome in Children

by

Renuka Singh
1372 days ago
20210615
Dr Joanne Paul

Dr Joanne Paul

There re­main 25 re­port­ed cas­es of COVID-19-re­lat­ed Mul­ti­sys­tem In­flam­ma­to­ry Syn­drome in Chil­dren (Mis-C) in Trinidad & To­ba­go.

While there have been 40 cas­es re­port­ed in to­tal, on­ly 25 of the chil­dren test­ed pos­i­tive for COVID-19, while 15 were neg­a­tive, ac­cord­ing to Dr Joanne Paul, the Med­ical Chief of Staff at the Er­ic Williams Med­ical Sci­ences Com­plex.

Speak­ing dur­ing yes­ter­day’s Min­istry of Health COVID-19 up­date, Paul said, “Be­cause Mis-C comes af­ter the COVID in­fec­tion, they might not be pos­i­tive, so it’s very com­mon for them to not have a PCR pos­i­tive or an­ti­body pos­i­tive.”

The Mis-C is very sim­i­lar to ex­treme COVID, she said.

“The thing is that it usu­al­ly comes up around four to six weeks af­ter the adult surge of COVID. We’ve seen our surge in May, so by late June, ear­ly Ju­ly, there may be a pos­si­bil­i­ty of in­creased cas­es,” she said.

She said chil­dren can be asymp­to­matic car­ri­ers of the COVID-19 virus.

“In chil­dren that are in­fect­ed, most of the cas­es are very mild or asymp­to­matic,” she said.

Chil­dren, she said, have few­er re­cep­tors and as such keep few­er vi­ral par­ti­cles, which al­so means that they trans­mit few­er par­ti­cles and are less in­fec­tious.

“But the thing is, they would fool us be­cause they are asymp­to­matic ... be­cause they are less in­fec­tious, we don’t have that vi­su­al cue,” Paul said.

She said chil­dren would not al­ways present res­pi­ra­to­ry signs like adults. In­stead, chil­dren in­fect­ed present with stom­ach and di­ges­tive is­sues, in­clud­ing di­ar­rhoea and vom­it­ing.

“In terms of the heart, they’d have a high heart rate in terms of the pulse, they will be a lit­tle bit lethar­gic, look a lit­tle pale,” she said.

Paul said if chil­dren seem con­fused or drowsy, that is al­so an in­di­ca­tion.

Not­ing the adult spike in May, Paul asked par­ents and guardians to pay spe­cial at­ten­tion to chil­dren in the next few weeks.

“Ob­serve your chil­dren,” she said.


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