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10.1093/tropej/fmab021 http://scihub22266oqcxt.onion/10.1093/tropej/fmab021 33787904!8083706!33787904     free     free     free Deprecated: Implicit conversion from float 217.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534 Deprecated: Implicit conversion from float 217.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534 Deprecated: Implicit conversion from float 217.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534 Deprecated: Implicit conversion from float 217.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534 Deprecated: Implicit conversion from float 217.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534 Deprecated: Implicit conversion from float 217.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534       J+Trop+Pediatr 2021 ; 67 (1): ä Nephropedia Template TP {{tp|p=33787904|t=2021. Multisystem Inflammatory Syndrome in a Child with Scrub Typhus and Macrophage Activation Syndrome |pdf=|usr=}}{{33787904}} gab.com Text Multisystem Inflammatory Syndrome in a Child with Scrub Typhus and Macrophage Activation Syndrome JO: J Trop Pediatr http://www.kidney.de/pget.php?&tw=1&pmid=33787904 #FOAvip Clinical and laboratory parameters of multisystem inflammatory syndrome in children (MIS-C) mimic Kawasaki disease (KD). KD has been described in association with dengue, scrub typhus and leptospirosis. However, MIS-C with concomitant infection has rarely been reported in literature. A 14-year-old-girl presented with fever and rash with history of redness of eyes, lips and tongue. Investigations showed anemia, lymphopenia, thrombocytosis with elevated erythrocyte sedimentation rate, C-reactive protein, pro-brain natriuretic peptide, Interleukin-6, ferritin and d-dimer. Scrub typhus immunoglobulin M was positive. Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) immunoglobulin G (IgG) level was also elevated. A diagnosis of MIS-C with concomitant scrub typhus was proffered. Child received azithromycin, intravenous immunoglobulin and methylprednisolone. After an afebrile period of 2.5 days, child developed unremitting fever and rash. Repeat investigations showed anemia, worsening lymphopenia, thrombocytopenia, transaminitis, hypertriglyceridemia, hyperferritinemia and hypofibrinogenemia which were consistent with a diagnosis of macrophage activation syndrome (MAS). KD, MIS-C and MAS represent three distinct phenotypes of hyperinflammation seen in children during coronavirus disease pandemic. Several tropical infections may mimic or coexist with MIS-C which can be a diagnostic challenge for the treating physician. Identification of coexistence or differentiation between the two conditions is important in countries with high incidence of tropical infections to guide appropriate investigations and treatment. Twit Text FOAVip Multisystem Inflammatory Syndrome in a Child with Scrub Typhus and Macrophage Activation Syndrome ????J Trop Pediatr http://www.kidney.de/pget.php?&tw=1&pmid=33787904 #FOAvip Twit Text # Free Paper on # # # # # LINK http://www.kidney.de/pget.php?&tw=1&pmid=33787904 #FOAvip English Wikipedia <ref>{{Cite pmid|33787904}}</ref> Multisystem Inflammatory Syndrome in a Child with Scrub Typhus and Macrophage Activation Syndrome #MMPMID33787904 Gupta A; Gill A J Trop Pediatr 2021[Jan]; 67 (1): ä PMID33787904show ga Clinical and laboratory parameters of multisystem inflammatory syndrome in children (MIS-C) mimic Kawasaki disease (KD). KD has been described in association with dengue, scrub typhus and leptospirosis. However, MIS-C with concomitant infection has rarely been reported in literature. A 14-year-old-girl presented with fever and rash with history of redness of eyes, lips and tongue. Investigations showed anemia, lymphopenia, thrombocytosis with elevated erythrocyte sedimentation rate, C-reactive protein, pro-brain natriuretic peptide, Interleukin-6, ferritin and d-dimer. Scrub typhus immunoglobulin M was positive. Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) immunoglobulin G (IgG) level was also elevated. A diagnosis of MIS-C with concomitant scrub typhus was proffered. Child received azithromycin, intravenous immunoglobulin and methylprednisolone. After an afebrile period of 2.5 days, child developed unremitting fever and rash. Repeat investigations showed anemia, worsening lymphopenia, thrombocytopenia, transaminitis, hypertriglyceridemia, hyperferritinemia and hypofibrinogenemia which were consistent with a diagnosis of macrophage activation syndrome (MAS). KD, MIS-C and MAS represent three distinct phenotypes of hyperinflammation seen in children during coronavirus disease pandemic. Several tropical infections may mimic or coexist with MIS-C which can be a diagnostic challenge for the treating physician. Identification of coexistence or differentiation between the two conditions is important in countries with high incidence of tropical infections to guide appropriate investigations and treatment. |*Systemic Inflammatory Response Syndrome/blood/diagnosis/drug therapy/immunology[MESH] |Adolescent[MESH] |Azithromycin/therapeutic use[MESH] |Biomarkers/blood[MESH] |COVID-19/blood/*complications/diagnosis/therapy[MESH] |Child[MESH] |Female[MESH] |Fever/etiology[MESH] |Humans[MESH] |Immunoglobulin G/blood[MESH] |Immunoglobulins, Intravenous/therapeutic use[MESH] |Macrophage Activation Syndrome/complications/*diagnosis/drug therapy/immunology[MESH] |Methylprednisolone/administration & dosage/therapeutic use[MESH] |Pandemics[MESH] |SARS-CoV-2[MESH]Multisystem Inflammatory Syndrome in a Child with Scrub Typhus and Mac(epmc).pdf DeepDyve Pubget Overpricing