SARS-CoV-2-Associated Multisystem Inflammatory Syndrome in Children (MIS-C): A Case Report from Iraq
The novel coronavirus disease (COVID-19) continues to evolve. Severe acute respiratory syndrome coronavirus-2 (SARS-CoV-2)-associated multisystem inflammatory syndrome in children (MIS-C) is a rare post-COVID-19 complication that affects children with critical outcomes. Few MIS-C reports were availa...
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| Format: | Article |
| Language: | English |
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MDPI AG
2023-09-01
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| Series: | Pediatric Reports |
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| Online Access: | https://www.mdpi.com/2036-7503/15/3/48 |
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| author | Ruwaid Behnam Y. Al-Simaani Lika’a Fasih Y. Al-Kzayer Kenan Hussien Ali Mouroge H. Al-Ani Yozo Nakazawa |
| author_facet | Ruwaid Behnam Y. Al-Simaani Lika’a Fasih Y. Al-Kzayer Kenan Hussien Ali Mouroge H. Al-Ani Yozo Nakazawa |
| author_sort | Ruwaid Behnam Y. Al-Simaani |
| collection | DOAJ |
| description | The novel coronavirus disease (COVID-19) continues to evolve. Severe acute respiratory syndrome coronavirus-2 (SARS-CoV-2)-associated multisystem inflammatory syndrome in children (MIS-C) is a rare post-COVID-19 complication that affects children with critical outcomes. Few MIS-C reports were available from Arab-Asian ethnicities. We here describe a presentation mimicking a head injury overlapping the manifestations of MIS-C in a child from Iraq. A 10-year-old boy presented with blunt trauma in a shock-like status, and a head injury was suspected. Since he was febrile two days before the trauma, another pathology was assumed. Imaging and laboratory evaluations were performed, and after excluding gross neurosurgical etiology, he was initially treated as a toxic shock syndrome. Meanwhile, he was deteriorating with continuous fever, impaired consciousness, and seizure on the following day. Although not considered initially, close monitoring with a multidisciplinary approach and serial investigations revealed that the child met the criteria of MIS-C. SARS-CoV-2 IgG was shown to be high, while the RT-PCR of COVID-19 was negative. Once he received immunoglobulin and methylprednisolone, he improved dramatically. In conclusion, this report aimed to increase awareness about MIS-C among health workers and emphasized the need for a multidisciplinary team approach in Iraq due to the importance of timely treatment. |
| first_indexed | 2024-03-10T22:17:34Z |
| format | Article |
| id | doaj.art-49640bfe395140f5ba08116d531dfa89 |
| institution | Directory Open Access Journal |
| issn | 2036-7503 |
| language | English |
| last_indexed | 2024-03-10T22:17:34Z |
| publishDate | 2023-09-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Pediatric Reports |
| spelling | doaj.art-49640bfe395140f5ba08116d531dfa892023-11-19T12:23:39ZengMDPI AGPediatric Reports2036-75032023-09-0115353254010.3390/pediatric15030048SARS-CoV-2-Associated Multisystem Inflammatory Syndrome in Children (MIS-C): A Case Report from IraqRuwaid Behnam Y. Al-Simaani0Lika’a Fasih Y. Al-Kzayer1Kenan Hussien Ali2Mouroge H. Al-Ani3Yozo Nakazawa4Department of Pediatrics, Al-Sheikhan General Hospital, Nineveh 42012, IraqDepartment of Pediatrics, Shinshu University School of Medicine, Matsumoto 390-8621, JapanDepartment of Family Medicine, College of Medicine, Baghdad University, Baghdad 10071, IraqDepartment of Pediatrics, Nana-Kali Hospital for Hemato-Oncology, Erbil 44001, IraqDepartment of Pediatrics, Shinshu University School of Medicine, Matsumoto 390-8621, JapanThe novel coronavirus disease (COVID-19) continues to evolve. Severe acute respiratory syndrome coronavirus-2 (SARS-CoV-2)-associated multisystem inflammatory syndrome in children (MIS-C) is a rare post-COVID-19 complication that affects children with critical outcomes. Few MIS-C reports were available from Arab-Asian ethnicities. We here describe a presentation mimicking a head injury overlapping the manifestations of MIS-C in a child from Iraq. A 10-year-old boy presented with blunt trauma in a shock-like status, and a head injury was suspected. Since he was febrile two days before the trauma, another pathology was assumed. Imaging and laboratory evaluations were performed, and after excluding gross neurosurgical etiology, he was initially treated as a toxic shock syndrome. Meanwhile, he was deteriorating with continuous fever, impaired consciousness, and seizure on the following day. Although not considered initially, close monitoring with a multidisciplinary approach and serial investigations revealed that the child met the criteria of MIS-C. SARS-CoV-2 IgG was shown to be high, while the RT-PCR of COVID-19 was negative. Once he received immunoglobulin and methylprednisolone, he improved dramatically. In conclusion, this report aimed to increase awareness about MIS-C among health workers and emphasized the need for a multidisciplinary team approach in Iraq due to the importance of timely treatment.https://www.mdpi.com/2036-7503/15/3/48MIS-CCOVID-19SARS-CoV-2Iraq |
| spellingShingle | Ruwaid Behnam Y. Al-Simaani Lika’a Fasih Y. Al-Kzayer Kenan Hussien Ali Mouroge H. Al-Ani Yozo Nakazawa SARS-CoV-2-Associated Multisystem Inflammatory Syndrome in Children (MIS-C): A Case Report from Iraq Pediatric Reports MIS-C COVID-19 SARS-CoV-2 Iraq |
| title | SARS-CoV-2-Associated Multisystem Inflammatory Syndrome in Children (MIS-C): A Case Report from Iraq |
| title_full | SARS-CoV-2-Associated Multisystem Inflammatory Syndrome in Children (MIS-C): A Case Report from Iraq |
| title_fullStr | SARS-CoV-2-Associated Multisystem Inflammatory Syndrome in Children (MIS-C): A Case Report from Iraq |
| title_full_unstemmed | SARS-CoV-2-Associated Multisystem Inflammatory Syndrome in Children (MIS-C): A Case Report from Iraq |
| title_short | SARS-CoV-2-Associated Multisystem Inflammatory Syndrome in Children (MIS-C): A Case Report from Iraq |
| title_sort | sars cov 2 associated multisystem inflammatory syndrome in children mis c a case report from iraq |
| topic | MIS-C COVID-19 SARS-CoV-2 Iraq |
| url | https://www.mdpi.com/2036-7503/15/3/48 |
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