Yıl: 2022 Cilt: 28 Sayı: 4 Sayfa Aralığı: 315 - 319 Metin Dili: İngilizce DOI: 10.58600/eurjther-28-4-0074 İndeks Tarihi: 14-01-2023

A Case of ‘Multi-Inflammatory Syndrome in Children’ Complicated with Cardiogenic Shock

Öz:
ABSTRACT SARS Cov-2 infection causes Multi-Inflammatory Syndrome in Children (MIS-C), a serious condition that affects children. We report an 18-year-old Turkish male who was diagnosed with MIS-C and successfully treated. He was diagnosed with MIS-C and required invasive mechanical ventilation due to cardiogenic shock, after what he recovered. With a high temperature, rash, and conjunctival hyperemia, the patient was taken to the emergency department. He had no symptomatic COVID-19 in his medical history, although he had had contact with a COVID-19 positive patient in the near past. Physical examination revealed an erythematous maculopapular rash on the back and neck, as well as hepatosplenomegaly. SARS-CoV-2 IgM and IgG positivity were detected in the rapid antibody test. Following the procedure, rectal bleeding and tachypnea developed. Inflammation indicators and pro-BNP levels both increased. With echocardiogenic examination, the ejection fraction decreased from 50-55 percent to 35%. He needed invasive mechanical ventilation. As a result, the case was classified as MIS-C with predominant cardiac and gastrointestinal involvement. The patient was discharged after a successful multidisciplinary approach. Although COVID-19 infection in children and adolescents is asymptomatic or minimally symptomatic, clinicians should be aware of post-infection autoimmune complications.
Anahtar Kelime: COVID 19 MIS-C SARS-CoV 2 Cardiogenic Shock

Belge Türü: Makale Makale Türü: Kısa Bildiri Erişim Türü: Erişime Açık
  • 1. Coronaviridae Study Group of the International Committee on Taxonomy of Viruses. The species Severe acute respiratory syndrome-related coronavirus: classifying 2019-nCoV and naming it SARS-CoV-2. Nat Microbiol. 2020; 5(4):536-544. [Crossref]
  • 2. World Health Organization, “Coronavirusdisease (COVID-19) pandemic’’. Available: 09.01.2021. https://www.who.int/emergencies/ diseases/novel-coronavirus.2019
  • 3. Day M. Covid-19: four fifths of cases are asymptomatic, China figures indicate. BMJ. 2020; 369:m1375. [Crossref]
  • 4. Yasuhara J, Kuno T, Takagi H, Sumitomo N. Clinical characteristics of COVID-19 in children: A systematic review. Pediatr Pulmonol. 2020 Oct;55(10):2565-2575. [Crossref]
  • 5. REDDY, S. (2020). Life&arts your health: Schools and Camps Weigh Coronavirus Risks to Kids When Deciding to Reopen. The Wall Street Journal, Eastern edition; A.11, New York, N.Y.
  • 6. Radia T, Williams N, Agrawal P, et al. Multi-system inflammatory syndrome in children & adolescents (MIS-C): A systematic review of clinical features and presentation. Paediatr Respir Rev. 2021;38:51- 57. [Crossref]
  • 7. Whittaker E, Bamford A, Kenny J, Kaforou M, Jones CE, Shah P, et al; PIMS-TS Study Group and EUCLIDS and PERFORM Consortia. Clinical Characteristics of 58 Children With a Pediatric Inflammatory Multisystem Syndrome Temporally Associated With SARS-CoV-2. JAMA. 2020;324(3):259-269. [Crossref]
  • 8. Icenogle T. COVID-19: Infection or Autoimmunity. Front Immunol. 2020 Sep 11;11:2055. [Crossref]
  • 9. Gruber CN, Patel RS, Trachtman R, Lepow L, Amanat F, Krammer F,et al. Mapping Systemic Inflammation and Antibody Responses in Multisystem Inflammatory Syndrome in Children (MIS-C). Cell. 2020;183(4):982-995.e14. [Crossref]
  • 10. Abrams JY, Godfred-Cato SE, Oster ME, Chow EJ, Koumans EH, Bryant B, et al. Multisystem Inflammatory Syndrome in Children Associated with Severe Acute Respiratory Syndrome Coronavirus 2: A Systematic Review. J Pediatr. 2020 Aug 5;226:45–54.e1. [Crossref]
  • 11. Sokolovsky S, Soni P, Hoffman T, Kahn P, Scheers-Masters J. COVID-19 associated Kawasaki-like multisystem inflammatory disease in an adult. Am J Emerg Med. 2021;39:253.e1-253.e2. [Crossref]
  • 12. Mariani R, Liu H. Severe transient pancytopenia with dyserythropoiesis and dysmegakaryopoiesis in COVID-19-associated MIS-C.Blood. 2020;136(25):2964. [Crossref]
  • 13. Onyeaghala C, Alasia D, Eyaru O, Paul N, Maduka O, Osemwegie N, Ugwueze N, Ordu C, Igbosi E, Irabor M, Eyidia E. Multisystem inflammatory syndrome (MIS-C) in an adolescent Nigerian girl with COVID-19: A call for vigilance in Africa. Int J Infect Dis. 2021;105:124- 129. [Crossref]
  • 14. Naguib MN, Raymond JK, Vidmar AP. New onset diabetes with diabetic ketoacidosis in a child with multisystem inflammatory syndrome due to COVID-19. J Pediatr Endocrinol Metab. 2020;34(1):147-150. [Crossref]
  • 15. Hwang M, Wilson K, Wendt L, Pohlman J, Densmore E, Kaeppler C, Van Arendonk K, Yale S. The Great Gut Mimicker: A case report of MIS-C and appendicitis clinical presentation overlap in a teenage patient. BMC Pediatr. 2021; 21(1):258. [Crossref]
  • 16. Othenin-Girard A, Regamey J, Lamoth F, Horisberger A, Glampedakis E, Epiney JB, Kuntzer T, de Leval L, Carballares M, Hurni CA, Rusca M, Pantet O, Di Bernardo S, Oddo M, Comte D, Piquilloud L. Multisystem inflammatory syndrome with refractory cardiogenic shock due to acute myocarditis and mononeuritis multiplex after SARS-CoV-2 infection in an adult. Swiss Med Wkly. 2020; 150:w20387. [Crossref]
  • 17. Amato MK, Hennessy C, Shah K, Mayer J. Multisystem Inflammatory Syndrome in an Adult. J Emerg Med. 2021; 61(1):e1-e3.
  • 18. Jiang L, Tang K, Levin M, Irfan O, Morris SK, Wilson K, Klein JD, Bhutta ZA. COVID-19 and multisystem-inflammatory syndrome in children and adolescents. LancetInfectDis. 2020 ;20(11):e276-e288. [Crossref]
  • 19. Recalcati S. Cutaneous manifestations in COVID-19: a first perspective. J Eur Acad Dermatol Venereol. 2020;34(5):e212-e213. [Crossref]
APA Bicer N, TÜRE Z, ülger b, Esmaoglu a (2022). A Case of ‘Multi-Inflammatory Syndrome in Children’ Complicated with Cardiogenic Shock. , 315 - 319. 10.58600/eurjther-28-4-0074
Chicago Bicer Nazmiye serap,TÜRE Zeynep Ture,ülger birkan,Esmaoglu aliye A Case of ‘Multi-Inflammatory Syndrome in Children’ Complicated with Cardiogenic Shock. (2022): 315 - 319. 10.58600/eurjther-28-4-0074
MLA Bicer Nazmiye serap,TÜRE Zeynep Ture,ülger birkan,Esmaoglu aliye A Case of ‘Multi-Inflammatory Syndrome in Children’ Complicated with Cardiogenic Shock. , 2022, ss.315 - 319. 10.58600/eurjther-28-4-0074
AMA Bicer N,TÜRE Z,ülger b,Esmaoglu a A Case of ‘Multi-Inflammatory Syndrome in Children’ Complicated with Cardiogenic Shock. . 2022; 315 - 319. 10.58600/eurjther-28-4-0074
Vancouver Bicer N,TÜRE Z,ülger b,Esmaoglu a A Case of ‘Multi-Inflammatory Syndrome in Children’ Complicated with Cardiogenic Shock. . 2022; 315 - 319. 10.58600/eurjther-28-4-0074
IEEE Bicer N,TÜRE Z,ülger b,Esmaoglu a "A Case of ‘Multi-Inflammatory Syndrome in Children’ Complicated with Cardiogenic Shock." , ss.315 - 319, 2022. 10.58600/eurjther-28-4-0074
ISNAD Bicer, Nazmiye serap vd. "A Case of ‘Multi-Inflammatory Syndrome in Children’ Complicated with Cardiogenic Shock". (2022), 315-319. https://doi.org/10.58600/eurjther-28-4-0074
APA Bicer N, TÜRE Z, ülger b, Esmaoglu a (2022). A Case of ‘Multi-Inflammatory Syndrome in Children’ Complicated with Cardiogenic Shock. European Journal of Therapeutics, 28(4), 315 - 319. 10.58600/eurjther-28-4-0074
Chicago Bicer Nazmiye serap,TÜRE Zeynep Ture,ülger birkan,Esmaoglu aliye A Case of ‘Multi-Inflammatory Syndrome in Children’ Complicated with Cardiogenic Shock. European Journal of Therapeutics 28, no.4 (2022): 315 - 319. 10.58600/eurjther-28-4-0074
MLA Bicer Nazmiye serap,TÜRE Zeynep Ture,ülger birkan,Esmaoglu aliye A Case of ‘Multi-Inflammatory Syndrome in Children’ Complicated with Cardiogenic Shock. European Journal of Therapeutics, vol.28, no.4, 2022, ss.315 - 319. 10.58600/eurjther-28-4-0074
AMA Bicer N,TÜRE Z,ülger b,Esmaoglu a A Case of ‘Multi-Inflammatory Syndrome in Children’ Complicated with Cardiogenic Shock. European Journal of Therapeutics. 2022; 28(4): 315 - 319. 10.58600/eurjther-28-4-0074
Vancouver Bicer N,TÜRE Z,ülger b,Esmaoglu a A Case of ‘Multi-Inflammatory Syndrome in Children’ Complicated with Cardiogenic Shock. European Journal of Therapeutics. 2022; 28(4): 315 - 319. 10.58600/eurjther-28-4-0074
IEEE Bicer N,TÜRE Z,ülger b,Esmaoglu a "A Case of ‘Multi-Inflammatory Syndrome in Children’ Complicated with Cardiogenic Shock." European Journal of Therapeutics, 28, ss.315 - 319, 2022. 10.58600/eurjther-28-4-0074
ISNAD Bicer, Nazmiye serap vd. "A Case of ‘Multi-Inflammatory Syndrome in Children’ Complicated with Cardiogenic Shock". European Journal of Therapeutics 28/4 (2022), 315-319. https://doi.org/10.58600/eurjther-28-4-0074