Multisystem Inflammatory Syndrome in Children (MIS-C): New challenges of a new era

Dr. Bibhudatta Mishra, DNB, MNAMS, IDPCCM, Pediatric Intensivist at Jagannath Hospital, Bhubaneswar, Orissa, India, Dr. Arjit Mohapatra, Dr. Biswajit Mishra, Dr. Vidya Patwari, MD, DM (Neonatology), Director at Jagannath Hospital, Orissa, India, MD, Director at Jagannath Hospital, Orissa, India, MD, Consultant at Jagannath Hospital, Orissa, India
2020 Pediatric Review International Journal of Pediatric Research  
In the background of a sudden surge of coronavirus disease 2019 (COVID-19) cases, reports of themultisystem inflammatory syndrome in children from different parts of the globe are a matter ofconcern for physicians. We report a similar case presenting with persisting fever, rashes, bulbarconjunctivitis, abdominal pain, respiratory difficulty, and shock. Initial reports suggestive of highinflammatory markers, neutrophilic leucocytosis, high d-dimer, transaminitis, and found to haveCOVID 19 IgG
more » ... haveCOVID 19 IgG antibodies positive in high titer. The echo at the bedside is suggestive of poor LVfunction with normal coronaries. Managed successfully in PICU with non-invasive ventilation support,ionotropy, aspirin, IVIG, and steroids and discharged. Early referral, a high index of suspicion,prompt recognition of shock, and early management by steroids and intravenous immunoglobulin(IVIG) may bring success.
doi:10.17511/ijpr.2020.i07.12 fatcat:uo6mj4zwdbcqjjy25ygvvra2qi