COVID-19, the disease caused by SARS-CoV-2, has been disruptive worldwide. It was primarily a respiratory disease that affected many of the medically vulnerable, but the true impact of postacute sequelae of SARS-CoV-2 (PASC), which has been demonstrated to involve all organ systems, is now coming to light.Â
Our recent issue COVID-19, MIS-C, and Long COVID in Pediatric Patients: An Update reviews the presentation, evaluation, and management of patients with COVID-19, MIS-C, and PASC. Additionally, the current literature supporting public health measures, as well as COVID-19 vaccinations and their complications are discussed.
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Here are a few key points:
- SARS-CoV-2 typically leads to a less severe infection in children than in adults.11,12Â (See Table 1 in the issue.)
- It is important to ascertain the patient‘s exposure to COVID-19–positive contacts and COVID-19 vaccination history.
- Children who should be evaluated immediately include infants aged <2 months with fever and older children with >3 days of fever, respiratory distress, or any sign of organ dysfunction, including decreased urine output.13
- If patients with COVID-19 are well-appearing with only upper respiratory symptoms and fever, no laboratory studies are necessary.
Read the full issue and earn 4Â AMA PRA Category 1 Creditsâ„¢.