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Multisystem Inflammatory Syndrome in Children (MIS-C)

This info is also available in
አማርኛ (Amharic), 繁體字 (Chinese, Trad.), हिन्दी (Hindi), ភាសាខ្មែរ (Khmer), Русский (Russian),
Af Soomaali (Somali), Español (Spanish), and Tiếng Việt (Vietnamese)

Most children who are sick with COVID-19 will have mild cases. However, some children and youth may develop a rare complication that can impact young people who have had COVID-19. It is called Multisystem Inflammatory Syndrome in Children (MIS-C). Children/youth who develop this will need to be hospitalized for treatment. Not all children who develop MIS-C will have had symptoms of COVID-19, and some may have had symptoms weeks earlier.

While rare, it is important that parents and caregivers know to look for the following symptoms:

  • Persistent fever lasting longer than 24 hours
  • Exhaustion, feeling very tired
  • Stomach pain
  • Diarrhea
  • Nausea
  • Rash
  • Conjunctivitis (red or bloodshot eyes)
  • Neck pain

Contact your doctor right away if your child has any of these symptoms.

If your child has the following severe symptoms, seek emergency care:

  • Trouble breathing
  • Chest pain or pressure
  • Bluish lips or face
  • Severe abdominal pain
  • Confusion
  • Inability to stay awake or wake up

If you don’t have a doctor, contact the Community Health Access Program (CHAP) to find a dentist, doctor or nurse and quality health care you can afford. It’s a free service and interpreters are available.

Learn more from the CDC including information translated into Spanish, Korean, Vietnamese and Chinese.

When your child's sick, you're their nurturer, playmate, and live-in nurse all wrapped up into one person. But novel coronavirus (COVID-19) challenges us in new ways. Though usually mild in kids, COVID-19 can be serious for some adults. And that means it's especially important that you protect your own health. Here are some concrete steps you can take to keep your household healthy and to respond if you or your child gets sick.

Children can get COVID-19, but here’s the good news: most kids will only have minor symptoms similar to the common cold. You might notice a cough, runny nose, sore throat, or fever. Vomiting and diarrhea are possible, but rarer. And some kids might not have any symptoms at all.

There's a lot we’re still learning about COVID-19, like whether kids with underlying medical conditions or special healthcare needs are at higher risk. Medical and public health experts are working around the clock to learn as much as they can.

Take these important steps to prevent COVID-19 infection. If someone in your home gets sick, keep up these behaviors:

  • Practice social distancing. Social distancing means increasing the space between people to avoid illness. Stay home as much as you can, and postpone playdates. Limit trips for groceries, gas, and other household needs. If you have to go out, stay at least 6 feet away from other people. And be certain to avoid contact with sick people. You won't need to social distance forever, but it's one of the best things we can do right now to stop the spread of COVID-19.

  • Wash your hands, wash your hands, wash your hands. And then do it again. Scrubbing with warm soap and water for 20 seconds destroys COVID-19. If you can't make it to the sink right away, use hand sanitizer with at least 60% alcohol. Keep sanitizer away from kids under age two.

  • Avoid touching your face, food, and shared objects with unwashed hands.

You can take steps to minimize your own risk of infection while still meeting your child’s basic needs.

Designate a caretaker

  • Choose one person in the household to be the primary caretaker for your child.

  • Keep other household members away as much as possible.

  • Do not invite any unnecessary visitors.

  • Look out for symptoms in all household members. If anyone develops symptoms, contact a doctor.

Seek medical advice, if needed

  • Call your child's doctor or set up an online visit. Your doctor knows your child's health history and whether they have any special risks.

  • Pay attention to your child's symptoms. Your child might need medical attention if they develop signs of more severe illness. Look out for fast breathing, fever that doesn't respond to fever-reducing medicine, or signs of dehydration (like peeing less than normal). Call 911 if your child has trouble breathing, persistent pain or pressure in the chest, new confusion, or bluish lips or face.

  • Need help finding a doctor or getting health insurance? Call the Community Health Access Program (CHAP): 1-800-756-5437 or the Help Me Grow Washington Hotline: 1-800-322-2588.

Treat the symptoms

  • Keep your child hydrated. Make sure they drink a lot of fluids.

  • Consider over-the-counter medication for symptom relief. Talk with your child's doctor about the correct medication and dose.

Create physical distance

  • Use a separate bedroom and bathroom, if at all possible. If that's not an option, try to stay at least 6 feet apart from each other when you're sleeping and interacting. This gets tough when you have small children who need diaper changes, help with feeding, and nighttime tuck-ins. Do what's realistic for your household.

  • Make sure that shared spaces have good airflow. Open a window or turn on an air conditioner.

  • Avoid contact with pets. Ask your child to postpone petting, snuggling, and getting kissed or licked.

Clean and disinfect

  • Clean and disinfect all “high-touch” surfaces every day. Clean surfaces like counters, doorknobs, bathrooms, diaper changing tables, toys, and crib railings. Be sure to disinfect any surfaces that may have blood, stool or body fluids on them. Pay special attention to shared bathrooms. If someone in your family has asthma, take precautions while cleaning to lower the risk of asthma attacks.

  • Wash laundry thoroughly. Wear disposable gloves if you have them, and keep the laundry away from your body. Wash your hands immediately after handling laundry, even if you wore gloves.

  • Teach your kids to be germ busters. Show them fun ways to wash their hands. Ask them to cover coughs and sneezes with a tissue, and then throw the used tissue in the trash.

Take other precautions

  • Avoid sharing personal items. Be sure your family members don't share dishes, drinking glasses, cups, eating utensils, towels, or bedding with other people or pets in your home. Make sure to thoroughly wash and dry items that your child has handled before others use them.

  • Use a mask, if possible. If your child's old enough to keep a mask on and you have one handy, ask them to wear it around other people. If that's not doable, consider wearing a mask when you're within six feet of each other. Keep in mind: there's a critical shortage of medical equipment right now, so only buy what you need. If you don't have a mask, consider using a scarf or bandana.

    See our resources on face coverings.
  • If possible, rely on another adult in the household for childcare responsibilities.

  • If you're on your own, do your best to social distance and disinfect. First, remember: this is temporary. If you can, wear a mask and have your child wear a mask. Find creative ways to keep your child entertained from a safe distance and to show your love.

  • Depending on your circumstances, consider staying somewhere else. If another adult in the household can care for your sick child, and the option is available to you, consider staying with a trusted family member or friend. (See text box in question #5 below.)

  • If you interacted closely with your child in the two days before they were ill or while they were ill, follow precautions in case you were infected. Public Health recommends the following:
    • Stay in quarantine for 14 days after your last contact. This is the safest option.
    • If that is not possible, stay home for 10 days if you have no symptoms.
    • Or, stay home for 7 days if you receive a negative test result that was collected on day 5. This option depends on availability of testing resources and may not be recommended in some settings.
    • If you are fully vaccinated, you may not need to quarantine. While experts learn more about the protection that COVID-19 vaccines provide in real-life conditions, our continued use of all COVID-19 precautions will help to end this pandemic.

  • Get tested as soon as you can if you interacted closely with your child in the two days before they were ill or while they were ill.

  • Pay attention to your health and call your doctor if you develop symptoms.

  • Every family's situation is unique. Consider how best to care for your children while also protecting your health.

Learn more from the CDC: People who are at higher risk for severe illness

If you get COVID-19 and the rest of your household is not sick, take these steps:

  • Follow the recommendations above (under "What should I do if my child gets COVID-19") – they apply to adults too.

  • If possible, rely on another adult in the household for childcare responsibilities.

  • If your child has an underlying health condition, consider having them stay with a trusted family member or friend while you are ill.

  • Pay attention to your child's health and call a doctor if they develop symptoms.

If someone in your home is sick, you may need help from a trusted family member or friend.

Make sure the helper:

  • Is at low risk of serious illness. Do not choose someone who's 60 or older, has an underlying health issue, or is pregnant.
  • Does not have housemates in high-risk categories.
  • Is able to stay home and away from others ideally for 14 days after they finish helping you. The helper should pay attention to their health and call their doctor if they develop symptoms.

Breast milk is the best source of nutrition for most infants. However, much is unknown about COVID-19. Talk to your doctor about whether to start or continue breastfeeding, and then decide what’s best for your family.

If you breastfeed while ill, take steps to avoid spreading the virus: wash your hands before touching your baby and wear a mask if you have one. If it’s possible to express milk with a pump, consider having someone who’s healthy feed the baby. Be sure to wash your hands before touching a pump or bottle parts, and wash all pumping equipment after each use.

Most people with mild cases of COVID-19 recover within one to two weeks.

  • Anyone who tests positive should isolate for at least 5 days. Day 1 is the first full day after your symptoms developed or the day you got your test. Isolating for 10 days is the safer option since it's still possible to spread COVID-19 after day 5 (though you will not be as contagious as earlier in your infection).
  • After 5 days, if you have no symptoms or your symptoms are going away, you can leave your home. Do NOT leave your home if you still have a fever. You must continue to wear a high-quality, well-fitting mask around others for 5 more days (for a total of 10 days).
  • If your symptoms last longer than 5 days, continue isolating until your symptoms have improved and you no longer have a fever.

If at any point you are concerned about your child’s illness, talk to a health care provider.

Parents and guardians: If a child tests positive for COVID-19, please report the case to their school or child care center immediately. This helps to stop the virus from spreading, protect kids and staff, and keep facilities open.

Illness can be scary for kids, especially when it separates them from the people they love. Reassure your child that they will get better soon. Listen to their concerns and remain calm and comforting. Here are just a few resources to help get the conversation started:

For CDC coronavirus materials in other languages, visit the CDC Print Resources page. Web information is also available in 繁體字 (Chinese), 한국어 (Korean), Español (Spanish), and Tiếng Việt (Vietnamese).