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COVID-19-associated inflammatory syndrome in an adult woman with unexplained multiple organ failure: staying vigilant for COVID-19 complications as the pandemic surges.
Veyseh, Maedeh; Webster, Patrick; Blanco, Irene.
  • Veyseh M; Medicine, Jacobi Medical Center, Bronx, New York, USA veysehm@nychhc.org.
  • Webster P; Medicine, Albert Einstein College of Medicine, Bronx, New York, USA.
  • Blanco I; Medicine, Montefiore Medical Center, Bronx, New York, USA.
BMJ Case Rep ; 14(4)2021 Apr 12.
Article in English | MEDLINE | ID: covidwho-1180949
ABSTRACT
Since the emergence of SARS-CoV-2, clinicians have been challenged with a wide spectrum of disease severity. One of the serious complications associated with the virus is multisystem inflammatory syndrome in children (MIS-C). It is characterised by inflammation leading to organ damage, in the setting of positive SARS-CoV-2 infection. MIS-C is thought to be a postviral reaction where most children are negative on PCR testing but are positive for SARS-CoV-2 antibodies. The Centers for Disease Control and Prevention recently defined the same phenomenon occurring in adults as multisystem inflammatory syndrome in adults (MIS-A) and emphasised on the use of antibody testing in this population. Here we describe an adult woman with an exposure to SARS-CoV-2 who presented with unexplained organ failure and shock. Positive antibody testing was the only clue to the diagnosis of MIS-A. We stress the importance of SARS-CoV-2 antibody detection in order to identify these cases.
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Full text: Available Collection: International databases Database: MEDLINE Main subject: Systemic Inflammatory Response Syndrome / COVID-19 Type of study: Case report / Diagnostic study / Observational study / Prognostic study Topics: Long Covid Limits: Adult / Female / Humans Language: English Year: 2021 Document Type: Article Affiliation country: Bcr-2021-242034

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Full text: Available Collection: International databases Database: MEDLINE Main subject: Systemic Inflammatory Response Syndrome / COVID-19 Type of study: Case report / Diagnostic study / Observational study / Prognostic study Topics: Long Covid Limits: Adult / Female / Humans Language: English Year: 2021 Document Type: Article Affiliation country: Bcr-2021-242034