Guam now has 2nd case of child multisystem inflammatory syndrome associated with COVID

Department of Public Health and Social Services (PNC file photo)

Guam now has its second case of Multisystem Inflammatory Syndrome in Children associated with COVID-19 (MIS-C).

Dr. Robert Leon Guerrero, Chief Medical Officer of the Department of Public Health and Social Services, said both cases were aged 10 to 11 years old.

The first case occurred last week while the second one was hospitalized two days ago.

According to Dr. Leon Guerrero, the first one is improving and may probably go home soon.

“I’m not too sure, but he’s a lot better than when he came in. He was requiring medications to keep blood pressure up and to help prevent clotting. He was also required to maintain his oxygenation. Since then, he’s been off oxygen and is no longer on medications, except to maintain his blood pressure. So he’s improved a whole lot,” Dr. Leon Guerrero said during a media briefing Friday morning.

He added that the second one was not as bad as when he first came in.

“So they’re both stable, they’re not like in ICU,” the doctor said.

Multisystem inflammatory syndrome in children (MIS-C) is a condition where different body parts can become inflamed, including the heart, lungs, kidneys, brain, skin, eyes, or gastrointestinal organs.

According to a physician’s advisory issued by Public Health, for those afflicted by MIS-C under 21 years of age, the symptoms include the following:

Persistent fever, stomach pain, diarrhea, vomiting, skin rash, bloodshot eyes, dizziness or lightheadedness (signs of low blood pressure), fatigue, and a variety of signs and symptoms, including multiorgan involvement, (e.g., cardiac, gastrointestinal, renal, hematologic, dermatologic, neurologic) and elevated inflammatory markers.

Not all children will have the same signs and symptoms, and some children may have symptoms not listed here.

MIS-C may begin weeks after a child is infected with SARS-CoV-2. The individual may have been infected from an asymptomatic contact and, in some cases, the child and their caregivers may not even know they had been infected.