A review of post COVID syndrome pathophysiology, clinical presentation and management in children and young people

Abstract

Post Covid Syndrome (PCS) is a complex multi-system disorder with a spectrum of presentations. Severity ranges from mild to very severe with variable duration of illness and recovery. This paper discusses the difficulties defining and describing PCS. We review the current understanding of PCS, epidemiology, and predisposing factors. We consider potential mechanisms including viral persistence, clotting dysfunction and immunity. We review presentation and diagnosis and finally consider management strategies including addressing symptom burden, rehabilitation, and novel therapies.

Keywords: COVID-19; Children; Fatigue; Long Covid; Paediatric; Pediatric; Post COVID; Post COVID condition; Post Covid Syndrome; Young people.