Mesh : Humans Female Mucocutaneous Lymph Node Syndrome / diagnosis complications Child Systemic Inflammatory Response Syndrome / diagnosis etiology COVID-19 / complications diagnosis Diagnosis, Differential

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Abstract:
Multisystem inflammatory syndrome in children (MIS-C) is a rare but severe post-infectious complication of SARSCoV- 2 that seems to occur most frequently two to six weeks after infection. MIS-C can present very similarly to Kawasaki\'s disease (KD) with symptoms such as a skin rash in addition to a prolonged fever. Here we present a case of a 12-year-old African American/Black female with incomplete KD presenting similarly to MIS-C. The patient presented with prolonged fever, eventually worsening to shock and cardiac dysfunction. We further review the similarities and differences between incomplete KD and MIS-C. Due to their similarities, it is important to keep these diagnoses on the differential when a child presents with a prolonged fever.
摘要:
儿童多系统炎症综合征(MIS-C)是SARSCoV-2的一种罕见但严重的感染后并发症,似乎最常发生在感染后2至6周。MIS-C的表现与川崎病(KD)非常相似,除了长期发烧外,还伴有皮疹等症状。在这里,我们介绍了一个12岁的非洲裔美国人/黑人女性,其KD不完整,与MIS-C相似。病人表现为长时间发烧,最终恶化为休克和心功能不全。我们进一步回顾了不完全KD和MIS-C之间的异同。由于它们的相似性,当儿童出现长时间发烧时,保持这些诊断的鉴别是很重要的。
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