PDF(Pubmed)
Abstract：
A previously healthy child, presented with severe abdominal and scrotal pain with scrotal swelling for five days. There was associated fever, vomiting, and diarrhea. There was history of COVID-19 infection in the previous month. The patient was febrile (39°C), and in pain. His other vitals were unremarkable. Testicular torsion and appendicitis were ruled out by ultrasound. Abdominal CT scan showed signs indicating terminal ileitis. His MIS-C panel revealed elevated inflammatory markers and cardiac enzymes and positive SARS-CoV-2 IgG levels. All cultures and RT-PCR COVID-19 were negative. Echocardiogram showed only minor mitral and tricuspid regurgitation. The patient was diagnosed as a case of MIS-C. and recovered completely on management. Our patient showed an inexplicable previously unreported complaint of scrotal pain and swelling as a symptom of MIS-c. Further research tackling MIS-C\'s different presentations and comparing the efficacy of the different treatment methods will help us better manage this disease.
摘要：
以前健康的孩子，表现为严重的腹部和阴囊疼痛，阴囊肿胀五天。有相关的发烧，呕吐,和腹泻。上个月有COVID-19感染史。患者发热（39°C），在痛苦中。他的其他生命体征并不引人注目。超声排除睾丸扭转和阑尾炎。腹部CT扫描显示指示末端回肠炎的体征。他的MIS-C面板显示炎症标志物和心肌酶升高以及SARS-CoV-2IgG水平阳性。所有培养物和RT-PCRCOVID-19均为阴性。超声心动图显示只有轻微的二尖瓣和三尖瓣反流。患者被诊断为MIS-C。并在管理层完全康复。我们的患者表现出莫名其妙的先前未报告的阴囊疼痛和肿胀作为MIS-c的症状。进一步研究解决MIS-C的不同表现并比较不同治疗方法的疗效将有助于我们更好地控制这种疾病。
