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J Pediatr Gastroenterol Nutr ; 72(3): 384-387, 2021 03 01.
Article in English | MEDLINE | ID: mdl-32969960

ABSTRACT

ABSTRACT: Multisystem inflammatory syndrome in children (MIS-C) is a recently identified syndrome that appears to be temporally associated with novel coronavirus 2019 infection. MIS-C presents with fever and evidence of systemic inflammation, which can manifest as cardiovascular, pulmonary, neurologic, and gastrointestinal (GI) system dysfunction. Presenting GI symptoms are seen in the majority, including abdominal pain, diarrhea, and vomiting. Any segment of the GI tract may be affected; however, inflammation in the ileum and colon predominates. Progressive bowel wall thickening can lead to luminal narrowing and obstruction. Most will have resolution of intestinal inflammation with medical therapies; however, in rare instances, surgical resection may be required.


Subject(s)
COVID-19/complications , Intestinal Diseases/virology , SARS-CoV-2 , Systemic Inflammatory Response Syndrome/complications , Abdominal Pain/virology , Child , Diarrhea/virology , Female , Gastrointestinal Tract/virology , Humans , Male , Vomiting/virology
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