COVID-19
Conditions
Keywords
COVID-19, Acute myocarditis, Children
Brief summary
The study objectives are to descript clinical, biological and echocardiographic features of an acute myocarditis in children in the context of COVID-19 and to identify the underlying mechanism : direct viral damage and/or inadequate host response risk.
Detailed description
An unexpected increase of shock with fever in children suspected to be infect by the COVID-19 is observed. These children present with similar symptoms and seem to have similar clinical time course. This unexpected phenomenon needs to be extensively described in order to further the knowledge of unusual COVID-19 presentation in children. The study consists an extensive retrospective data collection from April 2020 till the end of the main SARS-Cov-2 outbreak, from medical file of children have exhibited acute myocarditis and cared in 4 pediatric intensive care units of Assistance Publique-Hôpitaux de Paris of Ile-de-France region. The study objectives are to descript clinical, biological and echocardiographic features of an acute myocarditis in children in the context of COVID-19 and to identify the underlying mechanism : direct viral damage and/or inadequate host response risk.
Interventions
None listed
Sponsors
Study design
Eligibility
Inclusion criteria
* Age \< 18 years * Admitted to PICU from April 2020 * Presented with an acute myocarditis, fever and shock with a possible COVID-19 infection
Exclusion criteria
* Age ≥ 18 years * Other etiologies of acute myocarditis than the COVID-19 * Opposition expressed by the holders of parental authority
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Acute myocarditis | 7 days | Occurrence, description and time course of acute myocarditis |
| Multi-systemic inflammatory syndrome | 7 days | Occurrence, description and time course of multi-systemic inflammatory syndrome, features of Kawasaki disease |
| Kawasaki disease | 7 days | Occurrence, description and time course of features of Kawasaki disease |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Results of SARS-CoV-2 | 7 days | Results of SARS-CoV-2 screening either by PCR or antibodies serological assay |
Countries
France