TITLE:
Tricky Presentation of Multisystem Inflammatory Syndrome in Children (MIS-C) with in Pediatric
AUTHORS:
Hareth Aldosaimani, Mayada Dawoud Khairi, Mohammed Ayaad
KEYWORDS:
Kawasaki or Kawasaki-Like Syndrome, Vasculitis, Multi Organ Failure, Myo-carditis, Fever, Abdominal Pain, Skin Rash, Intravenous Immunoglobulin, Acute Kidney Injury and Raised Inflammatory Markers
JOURNAL NAME:
Open Journal of Pediatrics,
Vol.12 No.1,
March
11,
2022
ABSTRACT: Introduction: In emergence a COVID patient with multisystem inflammatory syndrome in
children (MIS-C), associated with SARS-CoV-2, has shown increasing number among
pediatric. Even the same presentation of Kawasaki disease we have to keep in
mind MIS-C, in order to reach a consensus on this new disease in the future.
Three variations of the disease patterns were reported: a group of children
with increase in inflammatory activity and persistent fever, without criteria
for Kawasaki disease, a second group with Kawasaki disease criteria, and a
third group with shock, coronary aneurysms, severe cardiac dysfunction, and
gastrointestinal symptoms. Classic Kawasaki disease is self-limited vasculitis
which affects medium-sized vessels, almost occurred in children under five
years old. Here, we bring a Saudi case, present to emergency department in
Prince Sultan Military Medical City. Case report: 10 years old female,
medically free, presented with abdominal pain, fever and skin rashes. Patient
had history of COVID-19 infection 1 month before presentation. Initial investigations
showed acute kidney injury with elevated inflammatory markers. Conclusion: Further
evidence of the increase in the incidence of
pediatric MIS-C, temporarily is associated with SARS-CoV-2. Physician should give more attentions to this new diagnosis
with more fatal outcomes than Kawasaki cases.