The Piedmont Health District has confirmed a case of Multisystem Inflammatory Syndrome in Children (MIS-C) associated with COVID-19. The child is showing marked improvement. To protect privacy, no other patient information will be disclosed.

MIS-C, previously called Pediatric Multisystem Inflammatory Syndrome, is a new health condition associated with COVID-19. The first reports of this syndrome came from the United Kingdom in late April. U.S. cases were first reported in New York City in early May.

MIS-C may cause problems with a child’s heart and other organs. Most children with MIS-C have fever lasting several days and may show symptoms of irritability or decreased activity, abdominal pain without another explanation, diarrhea, vomiting, rash, conjunctivitis, lack of appetite, red or cracked lips, red or bumpy tongue, or swollen hands and feet. Not all children with MIS-C have the same symptoms. Call your doctor immediately if your child becomes ill and has a continued fever or any of these symptoms.

If your child shows any emergency warning signs — trouble breathing, pain or pressure in the chest that does not go away, new confusion, inability to wake up or stay awake, bluish lips or face, or severe abdominal pain — go to the nearest emergency room or call 911 immediately.

Virginia Health Commissioner M. Norman Oliver, M.D., M.A., provided information and guidance on the syndrome to health care providers in Virginia in a May 15 Clinician Letter.

“I urge all local health care providers to immediately report any patient who meets these criteria to the local health department,” said Piedmont Health District Director Dr. H. Robert Nash. “In addition, now that much of our community is reopening, it is especially important that everyone remain vigilant to avoid exposure to COVID-19 by practicing physical distancing, frequent hand washing and wearing cloth face coverings as appropriate.” (Face coverings are not recommended for children under two years old.)

The Centers for Disease Control and Prevention issued a Health Advisory on May 14 about MIS-C. With community spread of COVID-19 throughout the Commonwealth, people of any age, race and gender are at risk for infection, severe illness and even death. Visit the CDC website for more information about COVID-19 and MIS-C.

Cases of MIS-C in Virginia are reported on the VDH website at This case will be added to the data, which is updated daily.

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By vascope