Objectives: Suggested therapeutic options for Multisystem Inflammatory Syndrome in Children (MIS-C) include intravenous immunoglobulins (IVIG) and steroids. Prior studies have shown the benefit of combination therapy with both agents on fever control or the resolution of organ dysfunction. The primary objective of this study was to analyze the impact of IVIG and steroids on hospital and ICU length of stay (LOS) in patients with MIS-C associated with Coronavirus Disease 2019 (COVID-19).

A multidisciplinary team including pediatric transplant surgeons or urologists, pediatric nephrologists, and specialized nurses is needed to provide optimal care after a renal transplant. Perioperative clinical and surgical complications requiring particularly close follow-up include fluid and electrolyte management, blood pressure control, and graft function surveillance. Timely imaging is required in the first postoperative day, using Doppler ultrasound to evaluate for compromised graft blood flow. Immunosuppressive therapy is key to graft survival and is optimized in the initial perioperative period.

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