Kale Wuthrich watched doctors surround his son Cooper in the emergency room, giving him fluids through IV tubes, running a battery of tests and trying to stabilise him

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Kale Wuthrich watched doctors surround his son Cooper in the emergency room, giving him fluids through IV tubes, running a battery of tests and trying to stabilise him.

Key points:

  • Hundreds of children across the US have been diagnosed with the rare condition, which comes after a COVID-19 infection
  • Doctors are not yet sure why some kids get the syndrome and others don’t, saying avoiding catching the virus is best
  • But the parents of one child with the syndrome say it can be difficult to encourage people to wear masks and take precautions

He was enveloped by the confusion and fear that had been building since his 12-year-old suddenly fell ill weeks after a mild bout with the coronavirus.

“He was very close at that point to not making it, and basically they told me to sit in the corner and pray,” Mr Wuthrich said.

“And that’s what I did.”

By the end of November, the boy from a secluded valley in the US state Idaho became one of hundreds of children in the United States who have been diagnosed with a rare, extreme immune response to COVID-19 called multisystem inflammatory syndrome in children.

Cooper Wuthrich reaches for his father Kales hand.

Cooper is back home after days in hospital battling a fever, infection and severe pain.(AP: Rick Bowmer)

Cooper Wuthrich’s fever spiked as his joints and organs became inflamed, including his heart, putting his life at risk, his father said.

“Cooper had it in every organ, in his joints; his feet were swelled up the size of mine, his poor eyes were red, bugged out of his head and very lethargic, very scared,” Mr Wuthrich said.

After days in the hospital, Cooper is back home.

But the child who loved sledding and skiing spent much of the following days on the couch.

A short walk left him with a bloody nose, and he’s still on medications that require twice-daily injections.

Protests over COVID restrictions

Demonstrators hold signs as they gather in opposition to Virginia's stay-at-home order.

People have protested COVID restrictions throughout the US.(Reuters: Kevin Lamarque)

For Cooper’s parents, his illness deepened their commitment to wearing masks and urging others to do so, though pushback can be intense in the conservative state.

Hundreds of people have protested mask requirements for months, even forcing one health official to rush home this month in fear for her child as protesters blasted a sound clip of gunfire outside her front door.

Opposition to restrictions is strong even as coronavirus patients fill Idaho hospitals.

Idaho Governor Brad Little warned that car crash victims could need to be treated in hospital conference rooms if beds run out.

He’s encouraged people to wear masks but is among about a dozen governors who haven’t issued a statewide mandate.

Cooper caught the virus in late October, likely at school, which is open for in-person classes without a mask requirement, said his mother, Dani Wuthrich.

“He had got himself grounded, and so he hadn’t been allowed to go anywhere except for to school,” she said.

He recovered in a few days and was back to playing basketball after a two-week quarantine.

But as December started approaching, Cooper called to come home from practice, unusual for a kid with bottomless energy.

His fever spiked above 39 degrees Celsius, and the medicine his parents gave him didn’t help. He was throwing up; he tossed and turned at night.

As the days wore on and Cooper’s fever refused to break, his parents rushed him to a local hospital, where doctors ran tests to try to figure out what was wrong.

Not seeing improvement and suspecting appendicitis, they loaded him into an ambulance for a three-hour drive through the mountains to Primary Children’s Hospital in Salt Lake City.

Inflammatory syndrome

Cooper Wuthrich rests on a couch with his head on a pillow as he wears a mask.

Cooper is one of hundreds of children in the US diagnosed with a rare COVID-19 complication.(AP: Rick Bowmer)

Cooper is one of about 40 kids treated for the inflammatory syndrome at Primary Children’s, said Dongngan Truong, a paediatric cardiologist who is helping with a study on the illness.

“Luckily, it is a rare complication, but it’s a complication that can get kids pretty sick pretty quickly,” Dr Truong said.

An August report from the US Centers for Disease Control and Prevention found that many children with the condition had severe complications, including inflammation of the heart and kidney damage.

In nearly two-thirds of cases, children went to intensive care units, and the average ICU stay was five days.

The report also found Hispanic and black children made up three-quarters of those with the syndrome.

The root seems to be a dysfunction of the immune system, which kicks into overdrive when exposed to the virus, releasing chemicals that can damage organs.

Symptoms include fever, abdominal or neck pain, vomiting, diarrhea, rash, bloodshot eyes and fatigue.

It can be tricky to identify because some kids have such mild COVID-19 symptoms that parents didn’t know they had the virus until the inflammatory syndrome appears, Dr Truong said.

Cooper Wuthrich sits on a couch in front of his mother Dani and father Kale.

Cooper’s parents said he nearly died and their terrifying experience shows why people should wear masks.(AP: Rick Bowmer)

It’s unclear why some children get the syndrome and others don’t, so the only way to prevent it is to stop kids from getting the virus, with steps like masks and social distancing, she said.

Back home in Idaho, the Wuthriches are trying to persuade friends and family to take precautions.

To a hunting buddy, Kale Wuthrich made his case for mask-wearing by comparing it to the camouflage he puts on his face while staking out deer.

They require masks for employees at their truck stop and restaurant, where they worked their way up from dishwashing and serving to part owners.

But they can’t always get customers to wear masks at the outpost.

Recently, plenty of people without face coverings passed by a cowboy mannequin with an American flag-patterned mask set up at the entrance to the restaurant.

“But I don’t think that will ever happen.”

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