COMPARATIVE ANALYSIS:
We analyzed clinical presentation and outcomes of all 98 babies based on
the timing of presentation correlating with the possible mechanism. 58
presented early within 72hours of life, 40 presented beyond 72 hours of
life. RDS 40(70%) and PPHN 12(20%) tend to be more common during early
presentation, variable presentations like fever; sepsis-like features,
seizures and encephalopathy were also observed. Fever 28(70%) and
24(60%) sepsis like features (poor feeding, lethargy) tends to be more
common presentation in Late MIS-N. Inflammatory markers were elevated
more in late presentation group. Immunomodulatory therapy with steroids
and IVIG use was high in Late MIS-N group.