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Tricky Presentation of multisystem Inflammatory Syndrome in Children (MIS-C) with in Pediatric

Open Journal of Pediatrics 2022年第1期12卷 196-202页

作者： Hareth Aldosaimani Mayada Dawoud Khairi Mohammed Ayaad Assistant Professor and Consultant Pediatric Emergency Emergency Department Prince Sultan Military Medical City Riyadh Saudi Arabia Specialist Pediatric Emergency Emergency Department Prince Sultan Military Medical City Riyadh Saudi Arabia

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.

关键词： 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

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