Open AccessDiagnosis and treatment of multisystem inflammatory syndrome temporally related to COVID-19 in an adolescent: case report
Author(s) -
Haroldo de-Carvalho,
Regis Cília,
Lívia Thomazi,
José Roberto Fioretto,
Mário Ferreira Carpi
Publication year - 2021
Publication title -
residência pediátrica
Language(s) - English
Resource type - Journals
ISSN - 2236-6814
DOI - 10.25060/residpediatr-2021.v11n1-494
Subject(s) - medicine , rash , vomiting , pediatrics , differential diagnosis , intravenous immunoglobulins , covid-19 , medical diagnosis , respiratory system , emergency department , intensive care medicine , respiratory failure , antibiotics , antibody , immunology , pathology , disease , infectious disease (medical specialty) , psychiatry , microbiology and biotechnology , biology
In April 2020, the UK pediatric society reported to the World Health Organization the appearance of a rare syndrome, with a wide spectrum of signs and symptoms, temporarily associated with COVID-19, which mainly affected normally healthy schoolchildren and adolescents, with high lethality when not diagnosed and treated early. We present the case of a 12-year-old child who had high and persistent fever, rash and vomiting, who, after 6 days, developed acute respiratory failure, myocardial and renal dysfunction, requiring ventilatory and hemodynamic support, treated with antibiotics, intravenous immunoglobulin, and anticoagulant. The purpose of this report is to present the reader with the peculiar characteristics of the diagnosis and treatment of the syndrome and its main differential diagnoses at the hospital admission.