Acute myocardial injury: a novel clinical pattern in children with COVID-19
Andrea Wolfler
Savina Mannarino
Vania Giacomet
Anna Camporesi
Gianvincenzo Zuccotti
Published:June 01, 2020DOI:https://doi.org/10.1016/S2352-4642(20)30168-1
Reports of coronavirus disease 2019 (COVID-19) show that children usually have mild clinical signs and less severe disease than do adults,1 although the reasons for such differences are not yet completely understood.2 A previous report3 describing paediatric COVID-19 cases in China showed that 13 (0·6%) of 2135 laboratory-confirmed and suspected cases were critical, but myocardial involvement was not noted. At the time of writing, two clinical scenarios of severe paediatric COVID-19 cases have been reported from the UK and Italy: severe shock syndrome with hyperinflammation4 and Kawasaki-like-disease.5