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COVID-19 multisystemic inflammatory syndrome in adults: a not to be missed diagnosis.
Tung-Chen, Yale; Algora-Martín, Ana; Rodríguez-Roca, Sonia; Díaz de Santiago, Alberto.
  • Tung-Chen Y; Internal Medicine, Hospital Universitario Puerta de Hierro Majadahonda, Majadahonda, Spain.
  • Algora-Martín A; Emergency Medicine, La Paz University Hospital, Madrid, Spain.
  • Rodríguez-Roca S; Emergency Medicine, La Paz University Hospital, Madrid, Spain.
  • Díaz de Santiago A; Internal Medicine, Hospital Universitario Clinica Puerta de Hierro, Majadahonda, Spain ddsalbertorubio@hotmail.com.
BMJ Case Rep ; 14(4)2021 Apr 13.
Article in English | MEDLINE | ID: covidwho-1183304
ABSTRACT
We report COVID-19 multisystemic inflammatory syndrome in an adult patient with an atypical presentation (mild abdominal pain) and a negative (repeated) reverse transcriptase-PCR, in the absence of lung involvement on lung ultrasound. In this case, focused cardiac ultrasound revealed signs of myopericarditis and enabled us to focus on the problem that was putting our patient in a perilous situation, with a quick, non-time-consuming and easy-to-access technique. Serology test was performed and SARS-CoV-2 infection was confirmed more than a week after admission to the coronary unit. As the patient had a general good appearance, the potential implications of missing this diagnosis could have been fatal.
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Full text: Available Collection: International databases Database: MEDLINE Main subject: Pericarditis / Systemic Inflammatory Response Syndrome / COVID-19 / Myocarditis Type of study: Case report / Diagnostic study / Observational study / Randomized controlled trials Topics: Long Covid Limits: Adult / Humans / Male Language: English Year: 2021 Document Type: Article Affiliation country: Bcr-2021-241696

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Full text: Available Collection: International databases Database: MEDLINE Main subject: Pericarditis / Systemic Inflammatory Response Syndrome / COVID-19 / Myocarditis Type of study: Case report / Diagnostic study / Observational study / Randomized controlled trials Topics: Long Covid Limits: Adult / Humans / Male Language: English Year: 2021 Document Type: Article Affiliation country: Bcr-2021-241696