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The death of a five-year-old boy in New York of inflammatory complications possibly linked to Covid-19 has prompted Andrew Cuomo, the state’s governor, to warn of “an entirely different chapter” of a disease that had been believed to cause only mild symptoms in children.
The boy, who has not been identified, died on Thursday. Cuomo said in a press conference that the state’s health department is investigating “several other cases that present similar circumstances”.
Cuomo later tweeted that there have been 73 reported cases in New York of children falling severely ill with a toxic shock-like reaction that displays symptoms similar to Kawasaki disease.
NBC News found at least 85 such cases in children across the US with a majority in New York state, which has also recorded the highest number of Covid-19 cases in the country.
“We thought children could be vehicles of transmission … but we didn’t think children would suffer from it,” Cuomo said, describing the development as “really painful news.”
Kawasaki disease, which mainly affects children under five, can cause the immune system to go into “overdrive”, causing fever, severe diarrhea, rashes and conjunctivitis. In more severe cases it can inflame the walls of the arteries, affecting bloodflow to the heart and is potentially fatal.
New York City reported on Monday that 15 patients aged between two and 15 had been hospitalized over the past three weeks with the Covid-related syndrome. The death of the five-year old boy marks the first fatality from the new illness in the US. Seattle has reported a case along with a team at California’s Stanford children’s hospital.
A 14-year-old boy in the UK also died of the new illness; and several cases in Europe were detailed in a report published in the Lancet. Experts there reported that abdominal pain, gastrointestinal symptoms and cardiac inflammation were common to the cases.
In a press release through the American Heart Association, Dr Jane Newburger, the director of the Kawasaki program at Boston children’s hospital, confirmed that a small number of children developed serious inflammatory syndrome with Covid-19, often leading to hospitalization.
“We want to reassure parents – this appears to be uncommon. While Kawasaki disease can damage the heart or blood vessels, the heart problems usually go away in five or six weeks, and most children fully recover, ”Newburger said.
“Rarely, but sometimes, the coronary artery damage persists. Because of this, Kawasaki disease is the most common cause of acquired heart disease in children in developed countries. Prompt treatment is critical to prevent significant heart problems. ”