SO THIS MORNING WE ARE LEARNING MORE ABOUT A SYNDROME CREATED BY COVID-19 ARE CAUSED BY
COVID-19 I SHOULD SAY
IT LED TO THE DEATH OF A
JACKSONVILLE
8 YEAR-OLD DR. ANNIE LE WAS A
SECOND GRADER AT TWIN LAKES
ACADEMY ELEMENTARY SCHOOL, A
BEAUTIFUL GIRL. SHE DIED LAST
SATURDAY AFTER A FATHER SAYS
SHE DEVELOPED MULTI-SYSTEM
INFLAMMATORY SYNDROME. IT’S
CALLED M I S C
AND USUALLY FOLLOWS AN
INFECTION OR EXPOSURE TO
THE CORONAVIRUS SO DOCTOR
JEFFREY GOLDHAGEN IS THE CHIEF
OF COMMUNITY AND SOCIETAL
PEDIATRICS THAT YOU
HAVE HEALTH AND HE JOINS US VIA
ZOOM THIS MORNING DOCTOR.
THANK YOU FOR COMING IN AND
TALKING WITH US
THIS MORNING. SO GOOD MORNING.
YEAH, WOULD YOU FIRST EXPLAIN
WHAT THIS IS AND HOW IT’S
CAUSED BY COVID.
>> ISCSI IS A DISEASE THAT CAN SOMETIMES BE FATAL. WE’VE HAD OVER 50
CASES SO FAR IN THE STATE
OF FLORIDA. IT’S A INFLAMMATORY
DISEASE A REACTION TO TO THE TO
TO
THE VIRUS.
>> THAT AFFECTS MULTIPLE ORGANS
AND
REQUIRES HOSPITALIZATION.
>> AND USUALLY INTENSIVE CARE
AND SUPPORT ALL THE ORGANS IN
THE BODY THAT
ARE AFFECTED.
>> IT GENERALLY PRESENT SO WITH
A HIGH FEVER AND A
PERSISTENT FEVER WITH VOMITING
ABDOMINAL PAIN, SOMETIMES A
SKIN RASH. AND
LESIONS ACTUALLY IN THE MOUSE
WHAT WE YOU COOK IT AND HE
THE ASIANS IF FAMILIES ARE
CONCERNED ABOUT THEIR CHILD AND
I WOULD SAY THAT A PERSISTENT
FEVER IS
ENOUGH TO A WARRANT TO CALL TO
THEIR PEDIATRICIAN TO BEGIN TO
DISCUSS WHERE TO LOOK FOR
AND THE EARLIER A PRESENTATION
TO THE HOSPITAL THE EARLIER THE
FAMILY GUEST TO THE HOSPITAL.
BETTER THE OUTCOME WILL BE FOR
THE CHILD. >>LAUREN VERNO: RYAN NEELY’S DAD SAID THAT SHE ACTUALLY HAD
A STOMACH ACHE IN ADDITION TO
THAT FEVER THAT WOULD NOT BREAK
SO AGAIN IF YOU SEE
THOSE SIGNS YOU DEFINITELY WANT
TO GET TO THE HOSPITAL WITH
SPECIALLY THAT FEVER THAT
DOESN’T BREAK THAT’S MOST
CONCERNING SO THAT ALSO SAYS
THAT SHE
TESTED NEGATIVE FOR COVID-19
WHEN SHE GOT SICK, BUT THAT
TESTS SHOWED THAT SHE HAD BEEN
AFFECTED AT
ONE POINT. SO THERE ARE CERTAIN
TIME PERIOD WHEN THIS CAN
DEVELOP AFTER EXPOSURE.
>> WELL, THAT’S REALLY NOT KNOW
WE DON’T KNOW MUCH ABOUT THE
DISEASE AT THIS AT THIS
POINT SO THE GREAT GREAT
MAJORITY OF CHILDREN WHO
PRESENT DO HAVE
ACTUALLY COVID AND TEST
POSITIVE FOR COVID BUT THERE
ARE
ANY NUMBER. THAT ARE POSITIVE
FOR
COVID BUT BUT HAVE HAD THE
EXPOSURE SO THAT RAIN REALLY IS
AS IT NOW
IN PART BECAUSE WE DON’T KNOW
IF MANY CHILDREN ACTUALLY HAVE
COVID BECAUSE THEY’RE
ASYMPTOMATIC RIGHT SO WE HAVE
NO REAL
ASSURANCE THERE.
>>LAUREN VERNO: I GUESS A LOT
OF PARENTS DO WANT SOME ANSWERS
OR BE ABLE TO SAY HEY COULD
THIS HAPPEN TO MY CHILD SO IS
THERE A COMMON AGE OR
ETHNICITY. AMONG CHILDREN WHO
HAVE
DEVELOPED THIS.
>> WELL THAT’S A REALLY
IMPORTANT QUESTION MISS THE
DEFINITION IS CHILDREN 121, BUT
THE MAJORITY OF OF HER
CHILDREN ARE SORT OF IN THEIR
MID
CHILDHOOD PERIOD AND
INTERESTINGLY THE MAJORITY OF
CHILDREN WHO ARE IMPACTED OUR
MINORITY EITHER
AFRICAN-AMERICAN
OR HISPANIC. SO THAT SEEMS TO
BE A RISK FACTOR, ALTHOUGH IT’S
UNCLEAR WHY THAT
MIGHT BE WE DO KNOW, THERE’S A
HIGHER PREVALENCE OF
COVID IN THOSE COMMUNITIES AND
IT MAY JUST BE THAT IN
THERE ARE MORE CHILDREN BEING
EXPOSED TO COVID IN
THOSE COMMUNITIES.
>>LAUREN VERNO: AND THIS FEELS
LIKE A LITTLE OF AN ANOMALY
WE’VE BEEN TOLD THAT COVID IS
WORSE IN PEOPLE WITH
PREEXISTING CONDITIONS BUT
ACCORDING TO HER FATHER, SHE
WAS OTHERWISE PERFECTLY
HEALTHY. SO HOW CAN THIS HAPPEN
IN A CASE LIKE THIS.
>> WELL THERE’S ANOTHER DISEASE
HAS SIMILAR TO THIS CALLED
KAWASAKI DISEASE AND IT IS NOT
SO MUCH THAT THERE’S AN
UNDERLYING PROBLEMS. IT’S
REALLY THE BODY’S REACTION YOU
YOU KNOW HIM YOU IN ANY
AND HOPE TO TO THE
DISEASE SO IS NOT SO
MUCH RELATED TO UNDERLYING
CONDITIONS BUT REALLY THE
RESPONSE OF THE DAY OF THE
INDIVIDUAL WHICH WE SEE
YOU KNOW DOSES WELL THAT IN
FACT IS THE BODY’S RESPONSE TO
COVID THAT CAN REALLY BE
CAUSING THE PROBLEMS.
I WOULD LIKE TO EMPHASIZE
EMPHASIZE AGAIN AND RE
EMPHASIZE THAT CHILDREN
GET DISEASE WE’VE HAD NEARLY 20
TO 30% INCREASE IN THE NUMBER
OF CHILDREN. ACTUALLY COMING
DOWN WITH COVID OVER THE LAST
SEVERAL WEEKS. THEY CAN GET
SICK. THEY CAN SPREAD THE
DISEASE AND THEY CAN DIE FROM
THE DISEASE. SO ANY ANY SENSE
THAT CHILDREN ARE NOT AT RISK
AND THIS IS NOT A SERIOUS
DISEASE TO THEM IS WRONG.
AND WE NEED TO BE REALLY VERY
CONGRESS AND IMPACT. THE OTHER
ISSUE IS THAT IN
YOU KNOW IT MAY BE THAT
I THOUGHT WHO ARE NOT NOT
SOCIALLY ISOLATING AND WHO ARE
NOT WEARING MASK
WHO ARE COMING DOWN WITH THE
DISEASE AND MANY OF WHO ARE
ASYMPTOMATIC FACTS BREADING THE
DISEASE TO THEIR CHILDREN.
WE THINK IN TERMS OF CHILDREN
SPREADING THE DISEASE
TO ADULTS. BUT WE MAY ACTUALLY
HAVE THE REVERSE HAPPENING.
AND SO PLEASE WEAR YOUR MASK
PLEASE SOCIALLY ISOLATE THESE
TAKE SERIOUSLY. WE HAVE A LONG
ROAD AHEAD OF US
THAT WE.
>>LAUREN VERNO: TO WALK
TOGETHER TACTICAL HAGAN THANK
YOU SO MUCH AND JUST TO
REINFORCE
THAT POINT WE DID HAVE ANOTHER
CHILD A 12 YEAR-OLD ELIZABETH