Abstract

The Journal is the primary organ of Continuing Paediatric Medical Education in Sri Lanka. The journal also has a website. Free full text access is available for all readers.The Sri Lanka Journal of Child Health is now indexed in SciVerse Scopus (Source Record ID 19900193609), Index Medicus for South-East Asia Region (IMSEAR), CABI (Centre for Agriculture and Bioscience International Global Health Database), DOAJ and is available in Google, as well as Google Scholar.The policies of the journal are modelled on the Committee on Publication Ethics (COPE) Guidelines on Principles of Transparency and Best Practice in Scholarly Publishing. Sri Lanka Journal of Child Health is recognised by the International Committee of Medical Journal Editors (ICMJE) as a publication following the ICMJE Recommendations.

Highlights

  • Coronavirus disease-19 (COVID-19) is caused by severe acute respiratory syndrome-corona virus [SARS-CoV-2], a beta coronavirus, mainly involving adults, and known to cause milder or asymptomatic infection in children as noted during the initial phase of the pandemic[1]

  • Atypical presentation of COVID-19 with varied manifestations involving systems other than respiratory was observed in children as a separate entity from hyper-inflammatory syndrome

  • Presence of undernutrition and elevated CRP was associated with severe illness. 1Yenepoya Medical College 2Yenepoya University, Mangalore, Karnataka, India *Correspondence: dr_sahana2003@yahoo.co.in https://orcid.org/0000-0002-7834-0289 (Received on 16 May 2021: Accepted after revision on 18 June 2021) The authors declare that there are no conflicts of interest Personal funding was used for the project

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Summary

Introduction

Coronavirus disease-19 (COVID-19) is caused by severe acute respiratory syndrome-corona virus [SARS-CoV-2], a beta coronavirus, mainly involving adults, and known to cause milder or asymptomatic infection in children as noted during the initial phase of the pandemic[1]. Recently it has been shown that Coronavirus can cause problems in children including multisystem inflammatory syndrome (MIS-C) which can be life threatening. Children with severe COVID-19 may develop respiratory failure, myocarditis, shock, acute renal failure, coagulopathy, encephalopathy and multiorgan system failure. Typical laboratory findings in children with COVID-19 include mild abnormalities in white blood cell count, mildly elevated inflammatory markers and mildly elevated liver enzymes. Radiologic findings in children with COVID-19 include unilateral or bilateral infiltrates on chest radiograph or computed tomography (CT), ground-glass opacities on CT and consolidation. Inflammatory markers are closely monitored in sick children and are very important in the early identification of hyper-inflammatory syndromes[3,4]

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