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10.12890/2020_001886

http://scihub22266oqcxt.onion/10.12890/2020_001886
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33083367!7546551!33083367
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suck abstract from ncbi


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pmid33083367      Eur+J+Case+Rep+Intern+Med 2020 ; 7 (10): 001886
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  • Kawasaki-like Syndrome as an Emerging Complication of SARS-CoV-2 Infection in Young Adults #MMPMID33083367
  • Burgi Vieira C; Ferreira AT; Botelho Cardoso F; Pelicano Paulos J; Germano N
  • Eur J Case Rep Intern Med 2020[]; 7 (10): 001886 PMID33083367show ga
  • BACKGROUND: Kawasaki-like syndrome occurring in children during the COVID-19 pandemic has been labelled multisystem inflammatory syndrome in children (MIS-C) by the CDC and paediatric inflammatory multisystem syndrome temporally associated with SARS-CoV-2 infection (PIMS-TS) by the ECDC. CASE REPORT: We report the case of an 18-year-old male patient presenting with a 72-hour history of abdominal pain, fever, erythematous skin rash, vomiting and diarrhoea. Examination showed he also had shock and he was first thought to have oedematous cholecystitis. SARS-CoV-2 infection was also diagnosed. He was admitted to the ICU, and echocardiography showed cardiac dysfunction, with a low ejection fraction and low cardiac index. High-sensitivity troponin serum levels were elevated. The patient received inotropic and vasopressor support. As he fulfilled several criteria for MIS-C/PIMS-TS, he was administered acetylsalicylic acid, corticosteroids and immunoglobulin, with a good clinical response. CONCLUSION: This case emphasizes how this severe presentation of COVID-19 can easily be misdiagnosed if the clinician is less aware of this syndrome in younger patients. LEARNING POINTS: SARS-CoV-2 infection is a diagnostic challenge in some patients with atypical clinical presentations, who may have MIS-C/PIMS-TS.Physicians should be aware of this condition when evaluating teenagers and young adults with COVID-19.
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