Open AccessAn unusual case of pediatric inflammatory multisystem syndrome, due to severe acute respiratory syndrome coronavirus-2 infection, presenting with complete heart block needing permanent pacing
Author(s) -
Suparna Guha,
Debabrata Manna,
Papai Khetrapal,
Sumita Basu
Publication year - 2021
Publication title -
indian journal of case reports
Language(s) - English
Resource type - Journals
eISSN - 2454-1303
pISSN - 2454-129X
DOI - 10.32677/ijcr.v7i9.3013
Subject(s) - medicine , myocarditis , heart block , shock (circulatory) , cytokine storm , immunology , covid-19 , electrocardiography , disease , infectious disease (medical specialty)
Pediatric inflammatory multisystem syndrome due to severe acute respiratory syndrome coronavirus-2 infection is not very common. It may vary from a simple febrile inflammatory response to a severe multisystem involvement including myocarditis and shock. Here, we report the case of a 10-year-old female child with fever, rash, and mucositis who presented with shock and complete heart block along with encephalopathy and convulsions. The primary investigations revealed raised inflammatory markers along with a high titer of COVID antibodies. She was given full inotrope support along with immunomodulators. She underwent temporary pacing but ultimately needed a dual-chamber pacemaker. The novel coronavirus in children can present with a myriad of manifestations affecting almost every organ. In these pandemic times, one must always keep in mind the possibility of COVID-19 infection in a child that presents with shock, carditis, and arrhythmias. These children need intense immunosuppression and must be managed very aggressively