Open AccessMultisystem inflammatory syndrome in neonates due to severe acute respiratory syndrome coronavirus 2: An emerging entity
Author(s) -
Ashwini Nagda,
Vishal Sawant,
Kiran Rajput,
Sushma Malik,
Vinaya Singh,
Santosh Kondekar
Publication year - 2021
Publication title -
indian journal of child health
Language(s) - English
Resource type - Journals
eISSN - 2349-6126
pISSN - 2349-6118
DOI - 10.32677/ijch.v8i11.3153
Subject(s) - medicine , coagulopathy , coronavirus , respiratory distress , respiratory system , shock (circulatory) , immunology , covid-19 , pediatrics , disease , infectious disease (medical specialty) , anesthesia
Severe acute respiratory syndrome coronavirus 2 was declared as a pandemic in March 2020. The virus has affected more adults than children, with disease severity being lesser in children. We present a case of a neonate who tested positive for coronavirus disease 2019 infection on day of life 3, 6, and 15. The baby had fever, respiratory distress, and shock. Laboratory investigations showed raised inflammatory markers, raised D dimer suggesting coagulopathy, coronary dilatation on 2D echocardiogram, and raised N terminal pro-brain natriuretic peptide. The neonate was successfully treated with good supportive care, lung-protective ventilatory strategies, early intravenous immunoglobulin administration, corticosteroids, and remdesivir.