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Younger age = mild illness? Doctor: Children who have recovered from COVID-19 are at risk of Kawasaki disease

2021-06-08T02:10:59.704Z


The outbreak of new crown pneumonia has been nearly one and a half years. A total of nearly 1,000 children and young people in Hong Kong have been infected. Although most young people have milder symptoms, a doctor at Princess Margaret Hospital revealed that three young people had serious complications.


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Written by: Zheng Cuibi

2021-06-07 08:00

Last update date: 2021-06-07 08:00

The outbreak of the new crown pneumonia has been nearly a year and a half. A total of nearly 1,000 children and young people in Hong Kong have been infected. Although most of the young people have mild symptoms, a doctor at Princess Margaret Hospital revealed that three young people had serious complications, including one. It is more necessary to stay in the intensive treatment department, and you will be in danger!

The 11-year-old boy had a fever again four weeks after he recovered, and later developed Kawasaki-like symptoms, that is, myocardial inflammation and cardiac enzymes reached 100 times that of normal people. Fortunately, he was cured and discharged from the hospital.

The doctor also pointed out that many young people have sequelae after contracting the epidemic. Some people are easy to breathe while walking up the stairs. Some people suddenly lose their sense of taste and smell after three or four months of recovery. They can't taste the smell of garlic or spicy food and can't smell the burn. Burnt.

The doctor emphasized that it is not a trivial matter for adolescents to contract new coronary pneumonia and should not be taken lightly.

The consultant doctor of the Department of Pediatric Infectious Diseases of Princess Margaret Hospital, Guan Rihua (left), pointed out that many young people have sequelae after contracting the epidemic. Some people are easy to pant when walking up the stairs. Some people suddenly lose their sense of taste and smell only three to four months after their recovery.

(Photo by Zheng Cuibi)

The consultant doctor of the Department of Pediatric Infectious Diseases of Princess Margaret Hospital, Guan Rihua, said that together with the 17-year-old girl who was recently infected with the mutant virus, a total of 969 children and young people in Hong Kong have contracted the new crown pneumonia, and three of them between the ages of 10 and 15 have had serious complications. .

The first person suffered from "COVID Toes" (COVID Toes), and his fingers and toes turned black and blood stasis. Fortunately, there was no blood clotting problem in this case, and he recovered on his own and was discharged from the hospital a week later.

The second person has a hemolysis problem, "The hemoglobin is not maintained, and the blood cells dissolve by itself, which is a condition of the immune system disorder." And the problem continues. The patient's new coronary pneumonia has recovered for 7 or 8 months, but still can only rely on drugs to barely control it. Hemolysis needs to be followed up and treated with immune system inhibitors.

Schematic diagram of strawberry puff and mouth turning red.

(Provided by Guan Rihua, screenshots of medical journals)

The third person’s condition was the most serious. The patient was an 11-year-old boy of Russian descent. He was diagnosed in June last year. He had a fever again four weeks after recovery. He needed to be hospitalized again. During his stay in the hospital, he suddenly developed symptoms of "multi-system inflammation", that is Kawasaki disease-like phenomena, including rashes, redness of the eyes and mouth, "stripes look like strawberry stalks, and have the same signs as Kawasaki disease."

The boy also developed myocardial inflammation. Cardiac enzymes were 100 times that of normal people. The cytokine level was also high. He was in a critical condition and needed to be transferred to the intensive care unit. He was the only adolescent in Hong Kong who was admitted to the ICU. His mother was worried about tears. Full of face.

Schematic diagram of red rash all over the body.

(Provided by Guan Rihua, screenshots of medical journals)

Guan Rihua pointed out that there have been cases of death of such patients in foreign countries, and the boy’s condition was also serious, but he lacked treatment experience at the time. He had to have a video conference with experts in Britain and the United States in the middle of the night to consult the treatment plan, and after obtaining the experience, he decided to use it. The Kawasaki disease was treated by the method of treatment. The boy took two doses of "gamma globulin" and finally got better after 15 days in the ICU. After another two weeks in the general ward, he could be discharged. He is now recovering well.

Guan Rihua could not remember the arduous treatment of this case. "Qu's mommy told me that she felt that a child had passed through a ghost gate, and he had a heart problem at first, so I can save him, but I will save him all the time. Continue to point out that generally children under the age of 1 will suffer from Kawasaki disease, but Kawasaki disease caused by new coronary pneumonia is different. It can be affected at any age. It is also unknown what type of adolescents are at higher risk, but because the cases in Europe and America are higher than those in Asia To be more, genetic inheritance may have an impact.

In addition, experts estimate that Kawasaki disease often appears two weeks after the new crown virus infection, which is expected to be caused by antibodies to the new crown pneumonia.

Guan Rihua (second from left) emphasized that it is not a trivial matter for adolescents to contract the new crown pneumonia and urged them to get the new crown vaccination as soon as possible. Adult vaccination can also protect young people.

(Photo by Zheng Cuibi)

Guan Rihua also revealed that among the more than 900 adolescents infected with the epidemic, some have sequelae. For example, some people feel that their lung function has deteriorated. Ah, we have found that this is a common situation." He said that he would continue to evaluate the lung function of the survivors, and he recommended that the patients do more exercise to strengthen their cardiopulmonary function.

Among the 969 confirmed adolescents in Hong Kong, one needs to be admitted to the intensive care unit.

(Information Picture/Photographed by Lu Yiming)

Guan Rihua also pointed out that in addition to 5 teenagers who lost their sense of taste or smell during the infection, among the 120 teenagers who followed up for consultation, 5 of them had a sudden taste and smell disorder after three or four months of recovery. Some Some people can’t taste the spicy taste of garlic and red pepper. Some people can’t smell the burning smell. Some people often "smelt the smell of pits" at home, but their family members can't smell the same smell at all. The hospital will arrange These recovered patients received MRI to understand the cause.

Guan Rihua emphasized that these cases reflect that it is not a trivial matter for young people to be infected with the new crown pneumonia. He urged them to get the new crown vaccination as soon as possible, and adult vaccination can also protect young people.

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CUHK Chinese and Western Medicine launches study on sequelae of new coronary pneumonia and recruits adult recovered people to participate|Attached link

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Coronavirus disease

Source: hk1

All news articles on 2021-06-08

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