By vgreene, 1 June, 2020 Isolate pt use droplet contact precautions per local regional and national standards for COVID 19 consult cardiology ID immunology rheum ASAP eval for hemodynamic instability use low threshold for PICU
By vgreene, 1 June, 2020 Enroll in research protocols, incl extra blood specimens before IVIG, immune modulators1,2
By vgreene, 1 June, 2020 1st-line tx: IVIG (+/- low-/mod-dose steroids);1,3 can consider high-dose IVIG (1-2 gm/kg) for all; if life-threatening, consider high-dose, IV pulse steroid
By vgreene, 1 June, 2020 Antiviral meds not routine, give only in studies, per RCPCH;1 per PIDS, MIS-C occurs ~4wk after infxn2
By vgreene, 1 June, 2020 Follow RT-PCR, antibodies for SARS-CoV-2; many pts are Ab(+), but RT-PCR(-)2