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First diagnosis of multisystem inflammatory syndrome in children (MIS-C): an analysis of PoCUS findings in the ED.
Delmonaco, Angelo G; Carpino, Andrea; Raffaldi, Irene; Pruccoli, Giulia; Garrone, Emanuela; Del Monte, Francesco; Riboldi, Lorenzo; Licciardi, Francesco; Urbino, Antonio F; Parodi, Emilia.
  • Delmonaco AG; Department of Pediatric Emergency, Regina Margherita Children's Hospital, A.O.U. Città Della Salute E Della Scienza Di Torino, Turin, Italy.
  • Carpino A; Postgraduate School of Pediatrics, University of Turin, Piazza Polonia 94, 10126, Turin, Italy. andrea.carpino@unito.it.
  • Raffaldi I; Department of Pediatric Emergency, Regina Margherita Children's Hospital, A.O.U. Città Della Salute E Della Scienza Di Torino, Turin, Italy.
  • Pruccoli G; Department of Pediatric and Public Health Sciences, Regina Margherita Children's Hospital, A.O.U. Città Della Salute E Della Scienza Di Torino, University of Turin, Turin, Italy.
  • Garrone E; Department of Pediatric Emergency, Regina Margherita Children's Hospital, A.O.U. Città Della Salute E Della Scienza Di Torino, Turin, Italy.
  • Del Monte F; Postgraduate School of Pediatrics, University of Turin, Piazza Polonia 94, 10126, Turin, Italy.
  • Riboldi L; Postgraduate School of Pediatrics, University of Turin, Piazza Polonia 94, 10126, Turin, Italy.
  • Licciardi F; Department of Pediatric and Public Health Sciences, Regina Margherita Children's Hospital, A.O.U. Città Della Salute E Della Scienza Di Torino, University of Turin, Turin, Italy.
  • Urbino AF; Department of Pediatric Emergency, Regina Margherita Children's Hospital, A.O.U. Città Della Salute E Della Scienza Di Torino, Turin, Italy.
  • Parodi E; Department of Pediatric and Public Health Sciences, Regina Margherita Children's Hospital, A.O.U. Città Della Salute E Della Scienza Di Torino, University of Turin, Turin, Italy.
Ultrasound J ; 13(1): 41, 2021 Sep 08.
Article in English | MEDLINE | ID: covidwho-1396703
ABSTRACT
Children with multisystem inflammatory syndrome (MIS-C) tend to develop a clinical condition of fluid overload due both to contractile cardiac pump deficit and to endotheliitis with subsequent capillary leak syndrome. In this context, the ability of point-of-care ultrasound (PoCUS) to simultaneously explore multiple systems and detect polyserositis could promote adequate therapeutic management of fluid balance. We describe the PoCUS findings in a case-series of MIS-C patients admitted to the Emergency Department. At admission 10/11 patients showed satisfactory clinical condition without signs and symptoms suggestive for cardiovascular impairment/shock, but PoCUS showed pathological findings in 11/11 (100%). In particular, according to Rapid Ultrasound in SHock (RUSH) protocol, cardiac hypokinesis was detected in 5/11 (45%) and inferior vena cava dilatation in 3/11 (27%). Peritoneal fluid was reported in 6/11 cases (54%). Lung ultrasound (LUS) evaluation revealed an interstitial syndrome in 11/11 (100%), mainly localized in posterior basal lung segments. We suggest PoCUS as a useful tool in the first evaluation of children with suspected MIS-C for the initial therapeutic management and the following monitoring of possible cardiovascular deterioration.
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Full text: Available Collection: International databases Database: MEDLINE Type of study: Experimental Studies / Prognostic study Language: English Journal: Ultrasound J Year: 2021 Document Type: Article Affiliation country: S13089-021-00243-5

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Full text: Available Collection: International databases Database: MEDLINE Type of study: Experimental Studies / Prognostic study Language: English Journal: Ultrasound J Year: 2021 Document Type: Article Affiliation country: S13089-021-00243-5