3月渥太华的孩子也有类似于纽约与COVID有关的神秘病例,(慎入)

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'That looks like what he had': Ottawa mother says son's illness similar to other mysterious COVID-related cases

Elizabeth Payne
Publishing date:
42 minutes ago • 4 minute read
Ottawa- April 06, 2020 - CHEO, April 06, 2020.  Photo by Jean Levac/Postmedia News assignment 133608 Covid
Ottawa- April 06, 2020 - CHEO, April 06, 2020. JEAN LEVAC / Postmedia News

When the Ottawa mother started seeing news stories about a mysterious syndrome associated with COVID-19 in children, she couldn’t believe it.
Her 16-year-old son had experienced many similar severe symptoms in March, baffling many of his doctors at the time and alarming his family.

“Oh my god, that looks like what he had,” she said when she first read about cases of the rare Kawasaki-like illness being reported in children and teens in the U.K., New York and other centres hard hit by the COVID-19 pandemic. On Wednesday, New York’s mayor said 82 children in the city now have the dangerous syndrome.

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There have been no cases confirmed in Ottawa, but the woman wonders whether her son had it before doctors knew what to look for. This newspaper has agreed not to identify her to keep her son’s medical history private.

Her son’s alarming symptoms matched many of those described in cases of children affected with the COVID-related syndrome.

After coming down with a bad virus that was going through the family, the teenager developed large, swollen lymph nodes, started turning yellow and broke out in a rash, his mother said. She took him to CHEO, where he was diagnosed with mononucleosis.

illness.jpg


Photos of his rashes and bloodshot eyes. SUPPLIED/POSTMEDIA
Then his symptoms worsened and he began vomiting blood. On March 15, he was taken again to CHEO, this time by ambulance. He remained isolated in the hospital for four days.

While there, the woman said, multiple doctors were perplexed about the cause of his worsening symptoms.

Among other things, he had bright red, seemingly bloodshot, eyes, two different rashes that were itchy and hot, a persistent fever, and enlarged organs, including his spleen, pancreas and liver, in addition to swollen lymph nodes. Many of those symptoms have been seen in cases of children with the COVID-19 associated inflammatory syndrome.

He also tested positive for a number of illnesses, including chicken pox, which he had both been infected with and vaccinated against, celiac disease, which he had never had, according to his mother, and pancreatitis.

Since his hospitalization and mysterious case coincided with the beginning of the pandemic lockdown, he was swabbed for COVID-19, but tested negative.

The woman said she had never seen anything like the rash that covered most of her son’s body.

“It looked like the measles at first, then the red dots clumped all together and it became super hot, like he was on fire.” Her son required cold clothes to ease the heat and pain, she said.

Even his ears were swollen with the rash and his lips were cracked.

“Every doctor would say, ‘Wow, we have never seen mono like this before’.”

While in hospital, the teenager underwent numerous ultrasounds to check on his organs and was biopsied, but the family has not been told of the results.

He was discharged once his fever went down, the mother said.

Her son is also awaiting blood testing, but has not yet received a requisition from CHEO, she said.

When he does have a follow-up appointment, the mother says she will ask whether there is any way of understanding whether her son might have had the syndrome associated with COVID-19.

Weeks later, she said, her son is recovering, although his eyes are still slightly yellow.

“Maybe it was mono, but it was so weird.”

She believes family members could have come in contact with COVID-19. They had visited a relative with severe pneumonia earlier this year and friends who had recently returned from Japan.

Among children in the U.K. whose cases were part of a published report on the syndrome, the majority did not test positive for COVID-19, but they all had antibodies, suggesting they had been infected earlier.

Dr. Jason Brophy, a pediatric infectious disease physician at CHEO, said anyone with serious concerns that their child might have the illness should get medical advice. “Now that we know what we are looking for we are definitely looking back to cases that may have come in in recent months with this in mind.”

He noted that any cases of illnesses that resemble Kawasaki, as the COVID-related case does, are very severe and children end up in hospital.

On Wednesday, Ontario Health Minister Christine Elliott announced that the province would begin monitoring cases of multisystem inflammatory vasculitis in children.

“While the link between this inflammatory illness and COVID-19 is not confirmed at this time, we are taking immediate action to better monitor this emerging issue so that we can effectively respond to the illness and protect Ontario’s children,” Elliott said in a statement.

The case definition of COVID-19 is being updated in Ontario to include the inflammatory illness as an atypical presentation in children.

“Some of the symptoms associated with this illness include persistent fever, abdominal pain, gastrointestinal symptoms, including nausea, vomiting and diarrhea, as well as rash. Parents should contact their health care providers immediately if their children are having these symptoms,” Elliott said.

That move by the province will help doctors to diagnose and track any cases of the illness that arise, said Brophy. And the approval of a serology test for COVID-19 in Canada this week will also help diagnose the illness. In all reported cases of the illness, children had antibodies of COVID-19. Until now, Canadian doctors have had no way to test for that.

epayne@postmedia.com

 
最后编辑:
纽约最近发现的85例孩子患有类似于川崎病,一般是5岁以下幼儿,与新冠病毒有关,所以Fauci 医生反对近期内开学,如果不开学,很多家长就无法复工。所以总统不惜与专家反目。


Why Trump is taking his Fauci complaints public
Updated 10:06 AM ET, Thu May 14, 2020
1589508405139.png


 
最后编辑:
纽约最近发现的85例孩子患有类似于川崎病,一般是5岁以下幼儿,与新冠病毒有关,所以Fauci 医生反对近期内开学,如果不开学,很多家长就无法复工。所以总统不惜与专家反目。

Why Trump is taking his Fauci complaints public
Updated 10:06 AM ET, Thu May 14, 2020

抗疫要靠科学,政治不能凌驾科学,否则后果不堪设想。
 
110人患病、七成进ICU:纽约发布全美首个儿童不明炎症标准

界面新闻
发布时间:05-1513:22


当地时间5月14日,纽约州已正在对该州110例疑因新冠病毒引起的非典型川崎病或中毒性休克类似症状进行调查,该症状现已造成3人死亡。
纽约州长科莫日前表示,这些儿童可能已在数周前就暴露在病毒中。在截至13日发现的102例病例中,有70%进入ICU治疗,插管率为19%,43%仍在住院治疗。
这些儿童的年龄主要在5岁至14岁之间,3例死亡病例则分别为5岁、7岁和18岁。60%的患儿病毒检测呈阳性,40%检测含有抗体,14%两者皆有。
目前,除纽约州外,还有14个美国州以及5个欧洲国家也报告了类似的病例。纽约州也在14日发布了全美首个针对儿童不明原因炎症综合征的标准,强调若孩子出现以下症状,应立刻请求医疗帮助。
主要症状包括发烧超过5天、严重腹痛腹泻或呕吐、眼睛充血、皮疹。其他症状则包括皮肤变色(包括皮肤苍白、颜色不均和泛蓝)、难以喂食(婴儿)或难以喝水、呼吸急促或呼吸困难、心跳过速或胸痛、倦怠、易怒或意识混乱。
据悉,纽约州卫生部已正在与纽约基因组中心以及洛克菲勒大学展开合作,针对这一炎症综合征进行基因组和RNA测序研究。
 
中国有没有这种?
 
美国人平常喜欢吹嘘自己如何了不起,现在是见真章的时候了。
 
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