Multisystem inflammatory syndrome in children: A case report from India

With reports of a multisystem inflammatory syndrome in children (MIS-C) related to COVID-19 infection resembling Kawasaki disease, there is an increasing need for awareness of this condition, especially in resource-limited settings. Herein, we report a 6-year-old previously healthy boy, who presente...

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Main Authors: Satya Prakash, Banothu Kiran Kumar, Tanima Dwivedi, Jhuma Sankar
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2020-01-01
Series:Journal of Pediatric Critical Care
Subjects:
Online Access:http://www.jpcc.org.in/article.asp?issn=2349-6592;year=2020;volume=7;issue=6;spage=349;epage=351;aulast=Prakash
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author Satya Prakash
Banothu Kiran Kumar
Tanima Dwivedi
Jhuma Sankar
author_facet Satya Prakash
Banothu Kiran Kumar
Tanima Dwivedi
Jhuma Sankar
author_sort Satya Prakash
collection DOAJ
description With reports of a multisystem inflammatory syndrome in children (MIS-C) related to COVID-19 infection resembling Kawasaki disease, there is an increasing need for awareness of this condition, especially in resource-limited settings. Herein, we report a 6-year-old previously healthy boy, who presented with a short history of fever, rash, and difficulty in breathing. At admission, he had bilateral nonexudative conjunctival congestion, oral erythema, maculopapular rash, and hemodynamic instability. Investigations showed neutrophilic leukocytosis, elevated inflammatory markers, and cardiac dysfunction. The child was managed with invasive ventilatory support, vasoactive agents, and broad-spectrum antibiotics and was given intravenous immunoglobulins and steroids. Reverse transcription-polymerase chain reaction for SARS-CoV-2 was negative; however, antibody test for SARS-CoV-2 was positive, confirming the diagnosis of MIS-C. The child improved clinically, inflammatory markers decreased, and the child could be discharged after 10 days of hospital stay.
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spelling doaj.art-2e0e98dd827346fcba3fb90a08a14ff72022-12-21T19:47:58ZengWolters Kluwer Medknow PublicationsJournal of Pediatric Critical Care2349-65922455-70992020-01-017634935110.4103/JPCC.JPCC_126_20Multisystem inflammatory syndrome in children: A case report from IndiaSatya PrakashBanothu Kiran KumarTanima DwivediJhuma SankarWith reports of a multisystem inflammatory syndrome in children (MIS-C) related to COVID-19 infection resembling Kawasaki disease, there is an increasing need for awareness of this condition, especially in resource-limited settings. Herein, we report a 6-year-old previously healthy boy, who presented with a short history of fever, rash, and difficulty in breathing. At admission, he had bilateral nonexudative conjunctival congestion, oral erythema, maculopapular rash, and hemodynamic instability. Investigations showed neutrophilic leukocytosis, elevated inflammatory markers, and cardiac dysfunction. The child was managed with invasive ventilatory support, vasoactive agents, and broad-spectrum antibiotics and was given intravenous immunoglobulins and steroids. Reverse transcription-polymerase chain reaction for SARS-CoV-2 was negative; however, antibody test for SARS-CoV-2 was positive, confirming the diagnosis of MIS-C. The child improved clinically, inflammatory markers decreased, and the child could be discharged after 10 days of hospital stay.http://www.jpcc.org.in/article.asp?issn=2349-6592;year=2020;volume=7;issue=6;spage=349;epage=351;aulast=Prakashcovid-19kawasaki diseasemultisystem inflammatory syndrome
spellingShingle Satya Prakash
Banothu Kiran Kumar
Tanima Dwivedi
Jhuma Sankar
Multisystem inflammatory syndrome in children: A case report from India
Journal of Pediatric Critical Care
covid-19
kawasaki disease
multisystem inflammatory syndrome
title Multisystem inflammatory syndrome in children: A case report from India
title_full Multisystem inflammatory syndrome in children: A case report from India
title_fullStr Multisystem inflammatory syndrome in children: A case report from India
title_full_unstemmed Multisystem inflammatory syndrome in children: A case report from India
title_short Multisystem inflammatory syndrome in children: A case report from India
title_sort multisystem inflammatory syndrome in children a case report from india
topic covid-19
kawasaki disease
multisystem inflammatory syndrome
url http://www.jpcc.org.in/article.asp?issn=2349-6592;year=2020;volume=7;issue=6;spage=349;epage=351;aulast=Prakash
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