Early recognition of Pediatric inflammatory multisystem synd
Research into pediatric inflammatory multisystem syndrome temporally associated with SARS-CoV-2 (PIMS-TS) has focused on tertiary-level management. This review reports on symptoms and investigations at presentation.

Six patients presented in the week prior to their final diagnosis with fever and non-specific symptoms. Raised C-reactive protein (CRP), lymphopenia, and hyponatremia was noted. Kawasaki-like symptoms were under-represented in all patients.

The results suggest that a proportion of children with early PIMS-TS present with a non-specific febrile illness and abnormal blood results. Further research is needed to determine the most appropriate identification and follow-up of these children.

Key Messages:

-Children with early PIMS-TS can present with a non-specific febrile illness a few days before they become severely unwell.

-Certain abnormal blood test results may indicate early PIMS-TS.

-Further research is needed to ascertain the significance of these findings and their application to clinical practice