Multisystem inflammatory syndrome in children associated with COVID-19 presenting as cervical inflammation.
Acta Paediatr
; 112(3): 477-482, 2023 03.
Artículo
en Inglés
| MEDLINE | ID: covidwho-20233539
ABSTRACT
AIM:
The major clinical manifestations multisystem inflammatory syndrome in children (MIS-C) are fever, gastrointestinal and cardiac. The aim of this study was to describe MIS-C in a series of patients who presented primarily with cervical manifestations.METHODS:
We retrospectively reviewed medical records of all patients who met the Centers for Disease Control and Prevention and World Health Organization MIS-C diagnostic criteria treated at Hadassah-Hebrew University Medical Center between April 2020 and September 2021.RESULTS:
Of 37 children diagnosed with MIS-C (median age 10.2 years, range 1.5-18 years, 20 male) five, 13.5% (median age 14.4 years, range 9.2-17.5 years) presented with cervical symptoms mimicking neck infections. One was hospitalised with a working diagnosis of retropharyngeal abscess, and four with acute cervical lymphadenitis that did not respond to early antibiotic treatment. All developed full MIS-C phenotype.CONCLUSION:
MIS-C may present as cervical inflammation. An ill-appearing child with symptoms and/or signs of cervical inflammation should be evaluated for clinical and laboratory features of MIS-C, thereby facilitating prompt treatment of this potentially fatal disorder.Palabras clave
Texto completo:
Disponible
Colección:
Bases de datos internacionales
Base de datos:
MEDLINE
Asunto principal:
COVID-19
Tipo de estudio:
Estudios diagnósticos
/
Estudio experimental
/
Estudio observacional
/
Estudio pronóstico
Tópicos:
Covid persistente
Límite:
Humanos
/
Masculino
Idioma:
Inglés
Revista:
Acta Paediatr
Año:
2023
Tipo del documento:
Artículo
País de afiliación:
Apa.16623
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