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10.3346/jkms.2021.36.e181

http://scihub22266oqcxt.onion/10.3346/jkms.2021.36.e181
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34184438!8239424!34184438
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suck abstract from ncbi


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pmid34184438      J+Korean+Med+Sci 2021 ; 36 (25): e181
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  • The First Case of Multisystem Inflammatory Syndrome in Adult after COVID-19 in Korea #MMPMID34184438
  • Chung H; Seo H; Park S; Kim H; Jung J; Chong YP; Kim SH; Lee SO; Choi SH; Kim YS; Kim MJ
  • J Korean Med Sci 2021[Jun]; 36 (25): e181 PMID34184438show ga
  • Multisystem inflammatory disease in children is a Kawasaki disease like illness occurring after severe acute respiratory syndrome coronavirus 2 infection in children. As the pandemic progresses, similar syndromes were also reported in adult with a decreased incidence. Multisystem inflammatory syndrome in adults (MIS-A) can be characterized with shock, heart failure, and gastrointestinal symptoms with elevated inflammatory markers after coronavirus disease 2019 (COVID-19) infection. Herein, we describe the first case of MIS-A in South Korea. A 38-year-old man presented to our hospital with a 5-day history of abdominal pain and fever. He had been treated with antibiotics for 5 days at the previous hospital, but symptoms had worsened and he had developed orthopnea on the day of presentation. He suffered COVID-19 six weeks ago. Laboratory data revealed elevated white blood cell counts with neutrophil dominance, C-reactive protein, and B-type natriuretic peptide. Chest X-ray showed normal lung parenchyme and echocardiography showed severe biventricular failure with normal chamber size. We diagnosed him as MIS-A and treated with intravenous immunoglobulin and steroid.
  • |*SARS-CoV-2[MESH]
  • |Abdominal Pain/etiology[MESH]
  • |Adrenal Cortex Hormones/therapeutic use[MESH]
  • |Adult[MESH]
  • |COVID-19/*complications[MESH]
  • |Fever/etiology[MESH]
  • |Humans[MESH]
  • |Immunoglobulins, Intravenous/therapeutic use[MESH]
  • |Male[MESH]
  • |Republic of Korea[MESH]
  • |Shock/etiology/therapy[MESH]


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