Case of multisystem inflammatory syndrome in children presenting as fever and abdominal pain.

Mahajan, Neha; Chang, Huan Ting; Leeman, Rachel; Manalo, Rachel; Glaberson, Wendy Robin

Mahajan, Neha; Chang, Huan Ting; Leeman, Rachel; Manalo, Rachel; Glaberson, Wendy Robin.

Mahajan N; Pediatrics, University of Miami, Miller School of Medicine, Miami, Florida, USA.
Chang HT; Pediatrics, University of Miami, Miller School of Medicine, Miami, Florida, USA.
Leeman R; Pediatrics, University of Miami, Miller School of Medicine, Miami, Florida, USA.
Manalo R; Pediatrics, University of Miami, Miller School of Medicine, Miami, Florida, USA.
Glaberson WR; Pediatrics, University of Miami, Miller School of Medicine, Miami, Florida, USA wglaberson@med.miami.edu.

BMJ Case Rep ; 13(9)2020 Sep 08.

Article in English | MEDLINE | ID: covidwho-828187

ABSTRACT

ABSTRACT

This case aims to remind all providers to scrutinise for atypical presentations of multisystem inflammatory syndrome in children (MIS-C) which may mimic a more routine diagnosis. In the absence of mucocutaneous symptoms, the diagnosis of MIS-C can be missed. Given the potential for rapid deterioration of patients with MIS-C, early treatment and inpatient interventions are necessary.

Subject(s)

Abdominal Pain/immunology; COVID-19/diagnosis; Fever/immunology; SARS-CoV-2/isolation & purification; Systemic Inflammatory Response Syndrome/diagnosis; Tachycardia/immunology; Abdominal Pain/blood; Abdominal Pain/therapy; Abdominal Pain/virology; Adenosine Monophosphate/analogs & derivatives; Adenosine Monophosphate/therapeutic use; Alanine/analogs & derivatives; Alanine/therapeutic use; C-Reactive Protein/analysis; COVID-19/blood; COVID-19/immunology; COVID-19/therapy; COVID-19 Nucleic Acid Testing; COVID-19 Serological Testing; Child; Diagnosis, Differential; Fever/blood; Fever/therapy; Fever/virology; Humans; Interleukin 1 Receptor Antagonist Protein/therapeutic use; Intubation, Intratracheal; Male; Mucocutaneous Lymph Node Syndrome/diagnosis; Myocarditis/diagnosis; Nasopharynx/virology; Natriuretic Peptide, Brain/blood; SARS-CoV-2/immunology; Systemic Inflammatory Response Syndrome/blood; Systemic Inflammatory Response Syndrome/immunology; Systemic Inflammatory Response Syndrome/therapy; Tachycardia/blood; Tachycardia/therapy; Tachycardia/virology; Treatment Outcome; COVID-19 Drug Treatment

Keywords

medical management; paediatric intensive care; tropical medicine (infectious disease)

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Full text: Available Collection: International databases Database: MEDLINE Main subject: Tachycardia / Abdominal Pain / Systemic Inflammatory Response Syndrome / Fever / SARS-CoV-2 / COVID-19 Type of study: Case report / Diagnostic study / Prognostic study Language: English Year: 2020 Document Type: Article Affiliation country: Bcr-2020-237306

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