tetano
Editor, Senior Moderator
J Korean Med Sci
. 2021 Jan 11;36(2):e17.
doi: 10.3346/jkms.2021.36.e17.
The Importance of Early Recognition, Timely Management, and the Role of Healthcare Providers in Multisystem Inflammatory Syndrome in Children
Ji Hyuk Lee[SUP] 1 2 [/SUP], Heon Seok Han[SUP] 1 2 [/SUP], Joon Kee Lee[SUP] 2 3 [/SUP]
Affiliations
Abstract
In April 2020, a pediatric report of an unusual inflammatory illness associated with coronavirus disease 2019 (COVID-19) led to similar cases in Europe and North America, which was referred to as multisystem inflammatory syndrome in children (MIS-C). Herein, we describe the case of a 12-year-old boy who had a history of polymerase chain reaction-confirmed COVID-19 and developed MIS-C approximately three weeks after an initial diagnosis of COVID-19. High fever with abdominal pain mimicking appendicitis was the initial manifestation of MIS-C, which could have been easily missed if the patient's history of COVID-19 was ignored. Intravenous immunoglobulin was administered twice, 24 hours apart, five days after the onset of MIS-C, and the patient fully recovered without any obvious sequelae. Early recognition by disease awareness and prompt management are the keys to saving the lives of children affected by MIS-C.
Keywords: COVID-19; Kawasaki Disease; Multisystem Inflammatory Syndrome in Children; SARS-CoV-2.
. 2021 Jan 11;36(2):e17.
doi: 10.3346/jkms.2021.36.e17.
The Importance of Early Recognition, Timely Management, and the Role of Healthcare Providers in Multisystem Inflammatory Syndrome in Children
Ji Hyuk Lee[SUP] 1 2 [/SUP], Heon Seok Han[SUP] 1 2 [/SUP], Joon Kee Lee[SUP] 2 3 [/SUP]
Affiliations
- PMID: 33429476
- DOI: 10.3346/jkms.2021.36.e17
Abstract
In April 2020, a pediatric report of an unusual inflammatory illness associated with coronavirus disease 2019 (COVID-19) led to similar cases in Europe and North America, which was referred to as multisystem inflammatory syndrome in children (MIS-C). Herein, we describe the case of a 12-year-old boy who had a history of polymerase chain reaction-confirmed COVID-19 and developed MIS-C approximately three weeks after an initial diagnosis of COVID-19. High fever with abdominal pain mimicking appendicitis was the initial manifestation of MIS-C, which could have been easily missed if the patient's history of COVID-19 was ignored. Intravenous immunoglobulin was administered twice, 24 hours apart, five days after the onset of MIS-C, and the patient fully recovered without any obvious sequelae. Early recognition by disease awareness and prompt management are the keys to saving the lives of children affected by MIS-C.
Keywords: COVID-19; Kawasaki Disease; Multisystem Inflammatory Syndrome in Children; SARS-CoV-2.