tetano
Editor, Senior Moderator
Cureus
. 2022 Aug 2;14(8):e27621.
doi: 10.7759/cureus.27621. eCollection 2022 Aug.
Severe Agitation as an Unusual Presentation of Multisystem Inflammatory Syndrome in Children
Mohamed A Ghamry[SUP] 1 [/SUP], Korlos Salib[SUP] 2 [/SUP], Shereen Henin[SUP] 3 [/SUP], Rehab Salah[SUP] 4 [/SUP], Monica Dobs[SUP] 5 [/SUP]
Affiliations
Abstract
Multisystem inflammatory syndrome in children (MIS-C) is a rare hyperinflammatory syndrome that mainly affects children after a primary infection with coronavirus disease 2019 (COVID-19), with the possibility of severe and lethal complications. We report a case of a unique presentation of MIS-C in a four-year-old boy who presented with severe agitation, muscle spasms, and two days of fever. Other findings consistent with MIS-C were revealed later, and he was managed with intravenous immunoglobulin (IVIG) and steroids. He showed a dramatic response of improvement and was discharged. This case report aimed to raise health professionals' awareness about the atypical presentations of MIS-C and the importance of early diagnosis, treatment, and follow-up MIS-C cases to avoid complications affecting children's lives.
Keywords: agitation; altered mental state; covid-19; high fever; multi-system inflammatory syndrome in children (mis-c); pediatric sepsis; pediatrics; post sars-cov-2 complication; right coronary artery (rca).
. 2022 Aug 2;14(8):e27621.
doi: 10.7759/cureus.27621. eCollection 2022 Aug.
Severe Agitation as an Unusual Presentation of Multisystem Inflammatory Syndrome in Children
Mohamed A Ghamry[SUP] 1 [/SUP], Korlos Salib[SUP] 2 [/SUP], Shereen Henin[SUP] 3 [/SUP], Rehab Salah[SUP] 4 [/SUP], Monica Dobs[SUP] 5 [/SUP]
Affiliations
- PMID: 36059320
- PMCID: PMC9436482
- DOI: 10.7759/cureus.27621
Abstract
Multisystem inflammatory syndrome in children (MIS-C) is a rare hyperinflammatory syndrome that mainly affects children after a primary infection with coronavirus disease 2019 (COVID-19), with the possibility of severe and lethal complications. We report a case of a unique presentation of MIS-C in a four-year-old boy who presented with severe agitation, muscle spasms, and two days of fever. Other findings consistent with MIS-C were revealed later, and he was managed with intravenous immunoglobulin (IVIG) and steroids. He showed a dramatic response of improvement and was discharged. This case report aimed to raise health professionals' awareness about the atypical presentations of MIS-C and the importance of early diagnosis, treatment, and follow-up MIS-C cases to avoid complications affecting children's lives.
Keywords: agitation; altered mental state; covid-19; high fever; multi-system inflammatory syndrome in children (mis-c); pediatric sepsis; pediatrics; post sars-cov-2 complication; right coronary artery (rca).