Multisystem Inflammatory Syndrome in Children Related to COVID-19: the First Case in Korea.

Abstract:

:Since mid-April 2020, cases of multisystem inflammatory syndrome in children (MIS-C) associated with coronavirus disease 2019 that mimics Kawasaki disease (KD) have been reported in Europe and North America. However, no cases have been reported in Korea. We describe an 11-year old boy with fever, abdominal pain, and diarrhea who developed hypotension requiring inotropes in intensive care unit. His blood test revealed elevated inflammatory markers, thrombocytopenia, hypoalbuminemia, and coagulopathy. Afterward, he developed signs of KD such as conjunctival injection, strawberry tongue, cracked lip, and coronary artery dilatation, and parenchymal consolidation without respiratory symptoms. Microbiological tests were all negative including severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) reverse transcription polymerase chain reaction. However, serum immunoglobulin G against SARS-CoV-2 was positive in repeated tests using enzyme-linked immunosorbent assay and fluorescent immunoassay. He was recovered well after intravenous immunoglobulin administration and discharged without complication on hospital day 13. We report the first Korean child who met all the criteria of MIS-C with features of incomplete KD or KD shock syndrome.

journal_name

J Korean Med Sci

authors

Kim H,Shim JY,Ko JH,Yang A,Shim JW,Kim DS,Jung HL,Kwak JH,Sol IS

doi

10.3346/jkms.2020.35.e391

subject

Has Abstract

pub_date

2020-11-09 00:00:00

pages

e391

issue

43

eissn

1011-8934

issn

1598-6357

pii

35.e391

journal_volume

35

pub_type

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