Open AccessSARS-CoV-2-related Multisystem Inflammatory Syndrome in Adults
Author(s) -
A. Martins,
Sara Policarpo,
A. Pinto,
Ana Sofia Santos,
Paulo Tadeu de Souza Figueiredo,
António Sarmento,
Lurdes Santos
Publication year - 2021
Publication title -
european journal of case reports in internal medicine
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.125
H-Index - 1
ISSN - 2284-2594
DOI - 10.12890/2021_003025
Subject(s) - medicine , shock (circulatory) , serology , systemic inflammatory response syndrome , covid-19 , vomiting , inflammation , immunology , antibody , sepsis , disease , infectious disease (medical specialty)
Adults infected with SARS-CoV-2 may develop a multisystem inflammatory syndrome (MIS-A) characterized by elevated inflammatory markers and multisystem organ involvement. We report the case of a patient who presented with fever and vomiting at hospital admission. He tested positive for SARS-CoV-2 infection and blood tests showed elevated inflammatory markers. The patient developed acute cardiac dysfunction and shock in less than 24 hours and the echocardiogram revealed an LVEF of 30%. He was discharged 3 weeks later fully recovered. MIS-A should be considered if a compatible syndrome is observed in patients with evidence of SARS-CoV-2 infection by PCR test or serology.