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J Pediatr Infect Dis 2023; 18(01): 031-037
DOI: 10.1055/s-0042-1758744
Original Article

Incidence and Risk Factors of Hyperglycemia in Severe Multisystem Inflammatory Syndrome in Children: A Retrospective Case-Control Study

Ozlem Saritas Nakip 
1   Pediatric Critical Care Medicine, Life Support Practice and Research Center, Hacettepe University, Faculty of Medicine, Ankara, Türkiye
,
Selman Kesici
1   Pediatric Critical Care Medicine, Life Support Practice and Research Center, Hacettepe University, Faculty of Medicine, Ankara, Türkiye
,
Betul Seda Bozkurt
2   Department of Pediatrics, Hacettepe University, Faculty of Medicine, Ankara, Türkiye
,
Yasemin Ozsurekci
3   Pediatric Infectious Disease, Hacettepe University, Faculty of Medicine, Ankara, Türkiye
,
Huseyin Demirbilek
4   Pediatric Endocrinology, Hacettepe University, Faculty of Medicine, Ankara, Türkiye
,
Benan Bayrakci
1   Pediatric Critical Care Medicine, Life Support Practice and Research Center, Hacettepe University, Faculty of Medicine, Ankara, Türkiye
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Abstract

Objective Multisystem inflammatory syndrome in children (MIS-C) patients might be at risk for hyperglycemia and associated complications. Herein, we aimed to determine the incidence of hyperglycemia, understanding the underlying risk factors in MIS-C patients.

Methods All MIS-C patients were retrospectively evaluated and compared according to the presence of hyperglycemia and the need of insulin. Inflammatory markers and body mass index Z-scores were also compared.

Results The median age of the patients with hyperglycemia was higher than those without (p = 0.001). Disease severity scores of patients with hyperglycemia were higher. Procalcitonin levels of patients with hyperglycemia were higher, while ferritin, CRP, and interleukin-6 levels were not. BMIs of patients with hyperglycemia were higher (p = 0.01) but BMI Z-scores were similar (p = 0.055). There was a positive correlation between BMIs and CRP (r: 0.31, p = 0.015). There was a positive correlation between procalcitonin (r: 0.431, p = 0.001) and CRP (r: 0.279, p = 0.029) and maximum PG.

Conclusion Hyperglycemia is a common feature of MIS-C patients and is associated with the severity of the inflammation. As a novel finding, high CRP and procalcitonin should be considered as predictive markers for impaired glucose homeostasis in MIS-C patients.

Keywords

hyperglycemia - multisystem inflammatory syndrome in children - obesity - inflammation - insulin


Publikationsverlauf

Eingereicht: 09. August 2022

Angenommen: 13. Oktober 2022

Artikel online veröffentlicht:
01. Dezember 2022

© 2022. Thieme. All rights reserved.

Georg Thieme Verlag KG
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