One of the first cases of multisystem inflammatory syndrome in children reported in US
One of the first cases of multisystem inflammatory syndrome in children reported in US. It is a timely case study linking COVID-19 to the highly dangerous syndrome which is rare in children and causes inflammation of the heart, lungs and other vital organs
At the height of the COVID-19 pandemic in April, a 14-year-old boy was admitted to the emergency department at Nemours Children's Health System in Delaware with mysterious symptoms in what would later be identified as one of the first cases of multisystem inflammatory syndrome in children (MIS-C) in the U.S. His care and retrospective diagnosis have been published in Progress in Pediatric Cardiology.
"There are lessons to be learned from this case, the most critical being to maintain your suspicion if there are several plausible diagnoses," said Deepika Thacker, MD, senior author of the paper and pediatric cardiologist with Nemours Children's Health System. "This allowed us to remain vigilant and adapt treatment as we went, based on the signals and symptoms we were seeing."
Prior to reports from Europe about similar cases in children, the patient presented to the emergency department with a four-day history of fever, fatigue, and abdominal pain. He initially tested negative for COVID-19 and was admitted to the general pediatric ward. But his condition quickly deteriorated, with severe diarrhea, increasingly high fever, and a quickly spreading rash that further escalated to chest pain, fluid in the lungs, and decreasing heart function.
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