MIS-C with apendicitis
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- Matsuura Moe
- Department of Pediatrics, Kitasato University School of Medicine
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- Ebato Takasuke
- Department of Pediatrics, Kitasato University School of Medicine
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- Uematsu Yoshimasa
- Department of Pediatric Surgery, Kitasato University Hospital
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- Serizawa Haruna
- Department of Pediatrics, Kitasato University School of Medicine
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- Kaneko Masanori
- Department of Pediatrics, Kitasato University School of Medicine
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- Bando Yuki
- Department of Pediatrics, Kitasato University School of Medicine Department of Pediatrics, Kitasato University Medical Center
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- Ishikura Kenji
- Department of Pediatrics, Kitasato University School of Medicine
Bibliographic Information
- Other Title
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- 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
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- The Journal of Clinical Pediatric Rheumatology
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The Journal of Clinical Pediatric Rheumatology 14 (1), 56-61, 2024-02-29
Pediatric Rheumatology Association of Japan
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Keywords
Details 詳細情報について
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- CRID
- 1390018616996392192
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- ISSN
- 2434608X
- 24351105
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- Text Lang
- ja
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- Data Source
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- JaLC
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- Abstract License Flag
- Disallowed