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A young adult with COVID-19 and multisystem inflammatory syndrome in children (MIS-C)-like illness: a case report
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A young adult with COVID-19 and multisystem inflammatory syndrome in children (MIS-C)-like illness: a case report
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Journal Article
A young adult with COVID-19 and multisystem inflammatory syndrome in children (MIS-C)-like illness: a case report
2020
Overview
Background
A healthy 25-year-old woman developed COVID-19 disease with clinical characteristics resembling Multisystem Inflammatory Syndrome in Children (MIS-C), a rare form of COVID-19 described primarily in children under 21 years of age.
Case presentation
The patient presented with 1 week of weakness, dyspnea, and low-grade fevers, followed by mild cough, sore throat, vomiting, diarrhea, and lymph node swelling. She was otherwise healthy, with no prior medical history. Her hospital course was notable for profound acute kidney injury, leukocytosis, hypotension, and cardiac dysfunction requiring ICU admission and vasopressor support. MIS-C-like illness secondary to COVID-19 was suspected due to physical exam findings of conjunctivitis, mucositis, and shock. She improved following IVIG, aspirin, and supportive care, and was discharged on hospital day 5.
Conclusion
MIS-C-like illness should be considered in adults presenting with atypical clinical findings and concern for COVID-19. Further research is needed to support the role of IVIG and aspirin in this patient population.
Publisher
BioMed Central,BioMed Central Ltd,Springer Nature B.V,BMC
Subject
/ Apixaban
/ Aspirin
/ Aspirin - administration & dosage
/ Children
/ Coronavirus Infections - complications
/ Coronavirus Infections - drug therapy
/ Coronavirus Infections - virology
/ Cough
/ COVID-19
/ Diarrhea
/ Dyspnea
/ Female
/ Humans
/ Immunoglobulins, Intravenous - administration & dosage
/ Immunoglobulins, Intravenous - therapeutic use
/ Medicine
/ Multisystem inflammatory syndrome in children
/ Patients
/ Pneumonia, Viral - complications
/ Pneumonia, Viral - drug therapy
/ Systemic Inflammatory Response Syndrome - complications
/ Systemic Inflammatory Response Syndrome - drug therapy
/ Systemic Inflammatory Response Syndrome - virology
/ Vomiting
