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Dr RusheeKanta Mohanta (MD.DM.)

Third Wave : Covid In Children

Date : 7/5/2021
Author : Dr. Manjulata Mahanta (MD Pediatrics, Sr Nephrology)
Publisher : Heartmate
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Volume No : 31 Issue No : 1
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Children of all ages can become ill with coronavirus disease 2019 .But most kids who are infected typically don't become as sick as adults and some might not show any symptoms at all. Know the signs and symptoms of COVID-19 in babies and children, why children might be affected differently by COVID-19 and what you can do to prevent the spread of the virus.


Children react differently to COVID-19

Some experts suggest that children might not be as severely affected by COVID-19 because there are other coronaviruses that spread in the community and cause diseases such as the common cold. Since children often get colds, their immune systems might be primed to provide them with some protection against COVID-19. It's also possible that children's immune systems interact with the virus differently than do adults' immune systems. Some adults are getting sick because their immune systems seem to overreact to the virus, causing more damage to their bodies. This may be less likely to happen in children.

Babies affected by COVID-19

Babies under age 1 might be at higher risk of severe illness with COVID-19 than older children. This is likely due to their immature immune systems and smaller airways, which make them more likely to develop breathing issues with respiratory virus infections.

Newborns can become infected with the virus that causes COVID-19 during childbirth or by exposure to sick caregivers after delivery. If you have COVID-19 or are waiting for test results due to symptoms, it's recommended during hospitalization after childbirth that you wear a cloth face mask and have clean hands when caring for your newborn. Keeping your newborn's crib by your bed while you are in the hospital is OK, but it's also recommended that you maintain a reasonable distance from your baby when possible. When these steps are taken, the risk of a newborn becoming infected with the COVID-19 virus is low. However, if you are severely ill with COVID-19, you might need to be temporarily separated from your newborn.

Infants who have COVID-19 or who can't be tested and have no symptoms might be discharged from the hospital, depending on the circumstances. It's recommended that the baby's caregivers wear face masks and wash their hands to protect themselves. Frequent follow-up with the baby's health care provider is needed — by phone, virtual visits or in-office visits — for 14 days. Infants who test negative for COVID-19 can be sent home from the hospital.

Children's COVID-19 symptoms

While children and adults experience similar symptoms of COVID-19, children's symptoms tend to be mild and cold-like. Most children recover within one to two weeks. Possible symptoms can include:

  • 1. Fever or chills
  • 2. Nasal congestion or runny nose
  • 3. Cough
  • 4. Sore throat
  • 5. Shortness of breath or difficulty breathing
  • 6. Fatigue
  • 7. Headache
  • 8. Muscle aches or body aches
  • 9. Nausea or vomiting
  • 10. Diarrhea
  • 11. Poor feeding or poor appetite
  • 12. New loss of taste or smell
  • 13. Belly pain
Multisystem inflammatory syndrome in children

Multisystem inflammatory syndrome in children (MIS-C) is a serious condition in which some parts of the body — such as the heart, lungs, blood vessels, kidneys, digestive system, brain, skin or eyes — become severely inflamed. Evidence indicates that many of these children were infected with the COVID-19 virus in the past, as shown by positive antibody test results, suggesting that MIS-C is caused by an excessive immune response related to COVID-19.
Possible signs and symptoms of MIS-C include:

  • 1. Fever that lasts 24 hours or longer
  • 2. Vomiting
  • 3. Diarrhea
  • 4. Pain in the stomach
  • 5. Skin rash
  • 6. Fast heartbeat
  • 7. Rapid breathing
  • 8. Red eyes
  • 9. Redness or swelling of the lips and tongue
  • 10. Feeling unusually tired
  • 11. Redness or swelling of the hands or feet
  • 12. Headache, dizziness or lightheadedness
  • 13. Enlarged lymph nodes
Dr. Manjulata Mahanta (MD Pediatrics, Sr Nephrology)
Heartmate Institute Pvt. Ltd.

Plot No B/1514, Sector 6, CDA Cuttack, Odisha
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