Burgi Vieira, César and Ferreira, Ana Teresa and Botelho Cardoso, Filipa and Pelicano Paulos, Jorge and Germano, Nuno (2020) Kawasaki-like Syndrome as an Emerging Complication of SARS-CoV-2 Infection in Young Adults. European Journal of Case Reports in Internal Medicine, 7 (10). pp. 1-5. ISSN ISSN: 2284-2594
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Abstract
Background: Kawasaki-like syndrome occurring in children during the COVID-19 pandemic has been labelled multisystem inflammatory syndrome in children (MIS-C) by the CDC and paediatric inflammatory multisystem syndrome temporally associated with SARS-CoV-2 infection (PIMS-TS) by the ECDC. Case report: We report the case of an 18-year-old male patient presenting with a 72-hour history of abdominal pain, fever, erythematous skin rash, vomiting and diarrhoea. Examination showed he also had shock and he was first thought to have oedematous cholecystitis. SARS-CoV-2 infection was also diagnosed. He was admitted to the ICU, and echocardiography showed cardiac dysfunction, with a low ejection fraction and low cardiac index. High-sensitivity troponin serum levels were elevated. The patient received inotropic and vasopressor support. As he fulfilled several criteria for MIS-C/PIMS-TS, he was administered acetylsalicylic acid, corticosteroids and immunoglobulin, with a good clinical response.Conclusion: This case emphasizes how this severe presentation of COVID-19 can easily be misdiagnosed if the clinician is less aware of this syndrome in younger patients.
| Item Type: | Article |
|---|---|
| Uncontrolled Keywords: | COVID-19, Kawasaki syndrome, vasculitis, adult, multisystem inflammatory syndrome |
| Subjects: | 600 Tecnologia - Scienze applicate 600 Tecnologia - Scienze applicate > 610 Medicina e salute (Classificare qui la tecnologia dei servizi medici) 600 Tecnologia - Scienze applicate > 610 Medicina e salute (Classificare qui la tecnologia dei servizi medici) > 616 Malattie (classificare qui la Clinica medica, la medicina basata sull'evidenza, la Medicina interna, la Medicina sperimentale) |
| Depositing User: | Marina Spanti |
| Date Deposited: | 15 Dec 2021 13:29 |
| Last Modified: | 15 Dec 2021 13:29 |
| URI: | http://eprints.bice.rm.cnr.it/id/eprint/21005 |
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