MIS-C with apendicitis

DOI
  • Matsuura Moe
    Department of Pediatrics, Kitasato University School of Medicine
  • Ebato Takasuke
    Department of Pediatrics, Kitasato University School of Medicine
  • Uematsu Yoshimasa
    Department of Pediatric Surgery, Kitasato University Hospital
  • Serizawa Haruna
    Department of Pediatrics, Kitasato University School of Medicine
  • Kaneko Masanori
    Department of Pediatrics, Kitasato University School of Medicine
  • Bando Yuki
    Department of Pediatrics, Kitasato University School of Medicine Department of Pediatrics, Kitasato University Medical Center
  • Ishikura Kenji
    Department of Pediatrics, Kitasato University School of Medicine

Bibliographic Information

Other Title
  • 発熱・腹部症状を呈し，虫垂切除術に至った小児COVID-19関連多系統炎症性症候群（MIS-C）の9歳女児例

Abstract

<p>We report a severe case of coronavirus disease 2019 (COVID-19)-related multisystem inflammatory syndrome in children (MIS-C). A 9-year-old girl who was diagnosed with acute abdomen by appendicitis underwent appendectomy. During anesthetic induction, unexpected hypotension occurred, and she required continuous noradrenaline administration. Pathological examination showed nonspecific findings. She showed KD-like findings such as indurative edema of the extremities, conjunctivitis, and cervical lymphadenopathy on admission. Owing to a history of COVID-19 1 month prior to admission, she was suspected to have MIS-C and treated with intravenous immunoglobulin and methylprednisolone therapy. A variety of symptoms have been reported in MIS-C cases, and in our case acute abdomen and shock were seen at onset. Thus, we need to consider MIS-C as a differential diagnosis when there is a history of COVID-19 with prolonged fever and abdominal symptoms.</p>

Journal

Keywords

Details 詳細情報について

  • CRID
    1390018616996392192
  • DOI
    10.34539/praj.14.1_56
  • ISSN
    2434608X
    24351105
  • Text Lang
    ja
  • Data Source
    • JaLC
  • Abstract License Flag
    Disallowed

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