DOI: 10.36347/sasjm.2022.v08i04.027

Pages: 356-360

Since the advent of the COVID 19 pandemic, very few severe cases have been described in the pediatric population and very few have required admission in intensive care unit (ICU). However, a new entity has emerged worldwide including multi-systemic inflammatory disease in children related to COVID infection called PIMS or MIS-C for multisystemic inflammatory syndrome in children. We report the case of two children admitted to the Pediatric Intensive Care Unit of the Rabat Children's Hospital for a severe multisystemic inflammatory syndrome related to an undetected COVID-19 infection; the first case presented a Status epilepticus while the second case was in shock due to myocarditis. The diagnosis of MIS-C was made with reference to WHO criteria and treatment was based on corticosteroid bolus only, due to lack of IV Ig. The evolution was favorable for both patients.