17/02/2023► Post-Covid-19 disorders in children include:
The child may present with a persistent cough, chest pain, and shortness of breath when exercising. If there is lung damage on previous chest X-ray or CT images, the child should have a follow-up chest radiograph. For children over 6 years of age with persistent respiratory symptoms, the child should be tested for respiratory function. If the child often has difficulty breathing when exercising, it is necessary to evaluate the cardiovascular status and blood clotting disorder.
Children may have post-Covid-19 myocarditis, with symptoms of: chest pain, shortness of breath, arrhythmia, fatigue. In severe cases, the child may have heart failure, myocardial infarction, or sudden cardiac arrest. 60% of children who survive Covid-19 develop myocarditis, regardless of the degree of Covid-19 infection.
1 in 4 children infected with Covid-19 will have a persistent change or loss of smell and/or taste. Loss of smell and/or taste affects children’s eating, easily leading to malnutrition or obesity. In addition, the condition also affects the child’s emotions and quality of life. Loss of smell and/or taste in children usually recovers in a few weeks, while in adults it takes months.
The phenomenon of “brain fog” – children exhibit difficulty concentrating, remembering, reducing attention, learning poorly, reading slowly, writing worse, not being able to sit for long periods of time, needing to go back to school, sometimes even forgetting their father. Mom. Inflammatory brain damage or stroke during the acute phase can have long-term consequences for the child.
Children should be assessed with age-specific tests for any changes or delays in cognitive, language, learning, motor, behavioral, or emotional development. If symptoms persist, children need to be examined with many specialists such as pediatric neurology, psychology, language…
Children may show signs of fatigue, decreased endurance even though there is no cardiopulmonary abnormality. Encourage your child to be physically active regularly as this helps to recover faster if the child does not have associated cardiopulmonary problems.
Causes may be related to schedule changes during illness, medication use, social isolation, dehydration, nutrition, lack of exercise, and other stressors. Lifestyle changes are the first factor to deal with this condition; however, if the headache is severe, the child should be seen by a neurologist to find the underlying physical cause and administer the appropriate medication, if necessary.
About 2-6 weeks after contracting Covid-19 some children (very low incidence) may have multisystem inflammatory syndrome presenting with damage to ≥ 2 of the following organs:
- Rash , conjunctivitis, dermatitis mucous membranes (mouth, hands, feet);
- Low blood pressure or shock; Myocardial dysfunction, pericarditis, vasculitis, coronary abnormalities;
- Blood clotting abnormalities; Digestive disorders (diarrhea, vomiting, abdominal pain).
This is a very serious injury after being infected with Covid-19, the child needs to be examined and treated promptly. In order to detect children with post-Covid-19 disorders early, parents need to pay attention to and regularly monitor their children’s health after being infected with Covid-19.
When seeing a child with the above signs, parents should not ignore it, but need to take the child to the doctor for timely diagnosis and treatment by experts for risk factors for post-Covid-19 lesion syndrome. the child’s future development and maturation.
The post-Covid-19 examination package is designed specifically for children of each age. Through this package, the child will be consulted, examined, performed clinical tests and diagnostic imaging, from which, the doctor will advise on appropriate and timely treatment depending on the condition of the disease.
Department of Pediatrics – Neonatology, AIH Clinic provides a full range of Pediatric medical examination and treatment services, including: general health check-up; vaccination; monitor the physical and mental development of children; nutrition counseling; and diagnostic and treatment services.
The pediatric clinic at AIH Clinic is divided into two separate areas: the healthy children’s area and the sick children’s area, for the purpose of patient separation to avoid cross-infection. When children come to the hospital with suspected symptoms, they will be taken to a separate examination area, so that the disease can be selected and isolated from the beginning.
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