Congenital Cardiac Anesthesia Society
A Section of the the Society for Pediatric Anesthesia

{“questions”:{“1hy2x”:{“id”:”1hy2x”,”mediaType”:”image”,”answerType”:”text”,”imageCredit”:””,”image”:””,”imageId”:””,”video”:””,”imagePlaceholder”:””,”imagePlaceholderId”:””,”title”:”Author: Michael A. Evans, MD \u2013 Ann & Robert H. Lurie Children\u2019s Hospital of Chicago \r\n\r\nA Hispanic male presents to the emergency room with tachypnea and a fever of 40\u00b0 Celsius. A SARS-CoV-2 RT-PCR is positive. Blood tests reveal an elevated C-reactive protein (CRP) and B-type natriuretic peptide (BNP). Which of the following age groups does this patient MOST LIKELY belong to based on the demographics of patients with Multisystem Inflammatory Syndrome in Children (MIS-C)?”,”desc”:””,”hint”:””,”answers”:{“fguqd”:{“id”:”fguqd”,”image”:””,”imageId”:””,”title”:”A. 1 to 4 years of age “},”2zjho”:{“id”:”2zjho”,”image”:””,”imageId”:””,”title”:”B. 5 to 9 years of age”,”isCorrect”:”1″},”30hoh”:{“id”:”30hoh”,”image”:””,”imageId”:””,”title”:”C. 10 to 14 years of age”},”7woxs”:{“id”:”7woxs”,”image”:””,”imageId”:””,”title”:”D. 15 to 20 years of age”}}}},”results”:{“10x4t”:{“id”:”10x4t”,”title”:””,”image”:””,”imageId”:””,”min”:”0″,”max”:”1″,”desc”:”According to the Centers for Disease Control and Prevention (CDC) as of May 2021, the majority of the 3742 cases of MIS-C have occurred in children and adolescents between the ages of one and fourteen years old with a median of nine years. There have been 35 MIS-C deaths to date. The cases are broken down by age group in the following table. \r\n\r\nAge Range——————————-% of Cases\r\nLess than 1 year of age——————3%\r\n1 to 4 years of age———————–21%\r\n5 to 9 years of age———————–34%\r\n10 to 14 years of age———————27%\r\n15 to 20 years of age———————15%\r\n\r\nMIS-C has a slight predominance in males (60% of cases) and children of Hispanic\/Latino descent (33%) or Black\/Non-Hispanic descent (30%) versus White\/Non-Hispanic descent (28%).\r\n\r\nThe diagnostic criteria for MIS-C are as follows:\r\n\u2022\tPatient aged <21 years with fever or history of fever and laboratory evidence of inflammation [elevated C-reactive protein (CRP), erythrocyte sedimentation rate (ESR), fibrinogen, procalcitonin, d-dimer, ferritin, lactic acid dehydrogenase (LDH), interleukin 6 (IL-6), or neutrophils; reduced lymphocytes, or low albumin], and evidence of clinically severe illness requiring hospitalization with multisystem organ involvement (\u22652 of the following systems: cardiac, respiratory, renal, gastrointestinal, neurologic, hematologic, or dermatologic), AND\r\n\u2022\tCurrent or recent SARS-CoV-2 infection or COVID-19 exposure within 4 weeks of symptom onset, AND\r\n\u2022\tNo alternative plausible diagnoses\r\n\r\nReferences\r\n1. National Center for Immunization and Respiratory Diseases (NCIRD). Health Department-Reported Cases of Multisystem Inflammatory Syndrome in Children (MIS-C) in the United States. Centers for Disease Control and Prevention. https:\/\/www.cdc.gov\/mis-c\/cases\/index.html. Updated May 11, 2021. Accessed May 16, 2021.\r\n\r\n2. Belhadjer Z, Meot M, Bajolle F, et al. Acute Heart Failure in Multisystem Inflammatory Syndrome in Children in the Context of Global SARS-CoV-2 Pandemic. Circulation<\/em>. 2020; 142(4): 429\u2013436.\r\n\r\n3. National Center for Immunization and Respiratory Diseases (NCIRD). Information for Healthcare Providers about Multisystem Inflammatory Syndrome in Children (MIS-C). Centers for Disease Control and Prevention. https:\/\/www.cdc.gov\/MIS-C\/hcp\/. Updated February 21, 2021. Accessed May 16, 2021.\r\n\r\n”,”redirect_url”:””}}}

{“questions”:{“6stzd”:{“id”:”6stzd”,”mediaType”:”video”,”answerType”:”text”,”imageCredit”:””,”image”:””,”imageId”:””,”video”:”https:\/\/ccasociety.org\/wp-content\/uploads\/2017\/02\/Video-20-TEE-ME-LAX-PR.mp4″,”imagePlaceholder”:””,”imagePlaceholderId”:””,”title”:”Is this a thing?\r\n\r\nWe’re trying to see if this is a thing.\r\n\r\nWe hope it is.\r\n\r\nIf not, we must define what this is.


Or not!”,”desc”:”We’re trying to see if this is a thing.\r\n\r\nWe hope it is.\r\n\r\nIf not, we must define what this is.


Or not!”,”hint”:”here’s a hint: it might be”,”answers”:{“1666g”:{“id”:”1666g”,”image”:””,”imageId”:””,”title”:”This is not a thing”},”wbzru”:{“id”:”wbzru”,”image”:””,”imageId”:””,”title”:”This is a thing”,”isCorrect”:”1″},”6psaw”:{“id”:”6psaw”,”image”:””,”imageId”:””,”title”:”I don’t know what a thing is”}}}},”results”:{“2e8fm”:{“id”:”2e8fm”,”title”:”Results Section”,”image”:””,”imageId”:””,”min”:”0″,”max”:”1″,”desc”:”Turns out things are things”,”redirect_url”:””}}}