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A word of caution to all parents: Be alert about unusual post-Covid complications in children.


You must be extra cautious if your children have recovered from the Covid infection. Following the first and second waves of Covid, a few children developed Multi-System Inflammatory Syndrome in Children (MIS-C). It is a syndrome, not a disease, according to medical literature, yet it can be fatal if ignored.

As told to by Dr Prakash Wari, HoD Pediatrics, KIMS, Hubballi

As a result, all parents should be careful. Children become increasingly prone to diseases with a range of presentations as the second wave fades. In this post-Covid world, parents must pay special attention to their children. After a Covid infection, symptoms usually appear 2-4 weeks later.

According to the study, ten children out of one lakh who are impacted develop MIS-C, according to Dr Prakash Wari, Head of the Department of Pediatrics at KIMS Hospital.

He said that some children may have been asymptomatic, can have MIS-C

MIS-C symptoms include high-grade fever, vomiting, diarrhoea, stomach discomfort, rapid breathing, redness in the eyes, and rashes all over the body, as well as headache, fatigue, or dizziness, which may or may not be linked with swelling of the hands and feet, according to study results. Few studies have found evidence of heart’s arteries, said Dr Wari.

Fever, abdominal pain, and diarrhoea are among the first symptoms that the youngsters suffer. As the condition advances, it will affect other body organs, causing low blood pressure, decreased urine production, and diminished heart function, eventually leading to multi-organ failure, said the HoD of Pediatrics.

RCPCH termed it as Pediatric Multisystem Inflammatory Syndrome In Children temporally associated with Sars-Cov 19 (Pims-Ts). And WHO/CDC termed it as Multisystem Inflammatory Syndrome In Children (MIS-C). The main pathogenesis is due to immune dysregulation. WHO and the CDC have concluded that it could be life-threatening if neglected, he said.


The RAT Covid test and RT-PCR may be negative, but the antibody IgG test is positive in such cases, he said and added that around 20 children at KIMS and 15 at private hospitals in Dharwad have tested positive for the IgG test.

The treatment involves costly drugs like human immunoglobulin. KIMS Director, Dr Ramalingappa has stated that it is made available at KIMS for patients’ benefit.



Not many cases of PIMS-TS have been documented in newborns. Comparatively, newborns are less severely affected. IgG in newborns may be positive due to the transfer of antibodies during breastfeeding; hence, the test is of less significant diagnostic value, said the doctor.

According to sources, the Dharwad district has reported roughly 20 such instances (including both government and private hospitals) following the first wave of the pandemic, with two youngsters succumbing to the illness. These youngsters did not die as a result of Covid.

In the second wave, so far, KIMS has had eight cases and approximately 20 cases in private hospitals, the sources added. ( Rough figures)


  • To avoid becoming viral carriers for their children, parents must take extra precautions.
  • Parents should have their Covid vaccine as soon as possible.
  • Parents should make every effort to avoid becoming infected with the virus.
  • Children should be offered a nutrient-dense, well-balanced diet.
  • Children should be closely monitored for the development of problems for the first 2-4 weeks after Covid infection.
  • If you see any of the symptoms listed above, see your paediatrician.
  • If detected early, there is a good chance of a positive result.
  • Covid appropriate behaviour should be followed strictly 
  • It is always preferable to prevent rather than cure.

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