PT  - JOURNAL ARTICLE
AU  - Roshni Mistry
AU  - Nicola Scanlon
AU  - James Hibberd
AU  - Fionnghuala Fuller
TI  - Early recognition of PIMS-TS: a single centre retrospective review
AID  - 10.1136/bmjpo-2020-001011
DP  - 2021 Mar 01
TA  - BMJ Paediatrics Open
PG  - e001011
VI  - 5
IP  - 1
4099  - http://bmjpaedsopen.bmj.com/content/5/1/e001011.short
4100  - http://bmjpaedsopen.bmj.com/content/5/1/e001011.full
SO  - BMJ Paediatrics Open2021 Mar 01; 5
AB  - Introduction Research into paediatric 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.Methods Single centre retrospective case note analysis of patients fulfilling PIMS-TS diagnostic criteria from March to May 2020 in a London district level university hospital.Results Six patients presented in the week prior to their final diagnosis with fever and non-specific symptoms. Raised C-reactive protein (CRP), lymphopenia and hyponatraemia were noted. Kawasaki-like symptoms were under-represented in all patients.Interpretation 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.