tetano
Editor, Senior Moderator
J Emerg Med
. 2020 Nov 5;S0736-4679(20)31053-2.
doi: 10.1016/j.jemermed.2020.10.009. Online ahead of print.
Multisystem Inflammatory Syndrome in Children
Sydney Tabaac[SUP] 1 [/SUP], Poonam Kothari[SUP] 1 [/SUP], Tara Cassidy-Smith[SUP] 1 [/SUP]
Affiliations
Abstract
Background: As the number of coronavirus disease 2019 (COVID-19) cases increases globally, more cases of a rare COVID-19-associated disease process are being identified in the pediatric population. This syndrome is referred to as multisystem inflammatory syndrome in children (MIS-C). Clinical manifestations of the syndrome vary and include one or a combination of the following: vasodilatory shock, cardiogenic shock, Kawasaki-like disease, cytokine storming, coronary artery dilatation, and aneurysms.
Case report: This case report describes the presentation, findings, workup, and treatment for a 9-year-old boy diagnosed with MIS-C. WHY SHOULD AN EMERGENCY PHYSICIAN BE AWARE OF THIS?: It is important to recognize MIS-C, as it shares many of the same features as other disease processes, for example, Kawasaki disease and toxic shock syndrome, but has different complications if left untreated.
Keywords: COVID-19; Kawasaki disease; Kawasaki-like syndrome; MIS-C; SARS-CoV-2; coronavirus; infectious disease; multisystem inflammatory syndrome in children.
. 2020 Nov 5;S0736-4679(20)31053-2.
doi: 10.1016/j.jemermed.2020.10.009. Online ahead of print.
Multisystem Inflammatory Syndrome in Children
Sydney Tabaac[SUP] 1 [/SUP], Poonam Kothari[SUP] 1 [/SUP], Tara Cassidy-Smith[SUP] 1 [/SUP]
Affiliations
- PMID: 33162259
- DOI: 10.1016/j.jemermed.2020.10.009
Abstract
Background: As the number of coronavirus disease 2019 (COVID-19) cases increases globally, more cases of a rare COVID-19-associated disease process are being identified in the pediatric population. This syndrome is referred to as multisystem inflammatory syndrome in children (MIS-C). Clinical manifestations of the syndrome vary and include one or a combination of the following: vasodilatory shock, cardiogenic shock, Kawasaki-like disease, cytokine storming, coronary artery dilatation, and aneurysms.
Case report: This case report describes the presentation, findings, workup, and treatment for a 9-year-old boy diagnosed with MIS-C. WHY SHOULD AN EMERGENCY PHYSICIAN BE AWARE OF THIS?: It is important to recognize MIS-C, as it shares many of the same features as other disease processes, for example, Kawasaki disease and toxic shock syndrome, but has different complications if left untreated.
Keywords: COVID-19; Kawasaki disease; Kawasaki-like syndrome; MIS-C; SARS-CoV-2; coronavirus; infectious disease; multisystem inflammatory syndrome in children.