Abdominal Manifestations of Multisystem Inflammatory Syndrome in Children: A Single-Center Experience.
Indian Pediatr
; 59(12): 936-938, 2022 12 15.
Article
in English
| MEDLINE | ID: covidwho-2157163
ABSTRACT
OBJECTIVES:
We reviewed the cases of probable multisystem inflammatory syndrome in children (MIS-C) to identify those cases that mimicked surgical emergencies.METHODS:
Records of children managed for MIS-C during a 15-month period between March, 2020 and April, 2021 were retrieved. Data on clinical presentation, severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) RT-PCR report, SARS-CoV-2 antibody status, blood investigations, radiological investigations and management were collected.RESULTS:
A total of 28 out of 83 children with probable MIS-C had acute abdominal symptoms and signs. Fifteen children had mild features like diffuse abdominal pain or non-bilious vomiting, and the remaining 13 (46.2%) had severe abdominal signs or bilious vomiting. Four children worsened with conservative treatment for MIS-C and were detected with perforated appendicitis. Two more children developed recurrent appendicitis on follow up. One child with appendicitis who underwent laparoscopic appendectomy, later manifested with MIS-C.CONCLUSION:
Surgical abdominal emergencies may be confused with or occur concurrently in children with MIS-C that should be identified with a high index of suspicion.
Full text:
Available
Collection:
International databases
Database:
MEDLINE
Main subject:
Appendicitis
/
COVID-19
Type of study:
Cohort study
/
Diagnostic study
/
Prognostic study
Limits:
Child
/
Humans
Language:
English
Journal:
Indian Pediatr
Year:
2022
Document Type:
Article
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