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Severe SARS-CoV-2 Infection With Multiorgan Involvement Followed by MIS-C in an Adolescent
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논문 기본 정보

Type
Academic journal
Author
Lim Bomi (Department of Pediatrics Seoul National University Children’s Hospital Seoul the Republic of Korea.Department of Pediatrics Seoul Metropolitan Government-Seoul National University Boramae Medical Cent) Shin Su-Mi (Department of Radiology Seoul Metropolitan Government-Seoul National University Boramae Medical Center Seoul the Republic of Korea.)
Journal
대한소아감염학회 Pediatric Infection and Vaccine Pediatric Infection and Vaccine 제29권 제3호 KCI Accredited Journals SCOPUS
Published
2022.12
Pages
155 - 160 (6page)
DOI
10.14776/piv.2022.29.e20

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Severe SARS-CoV-2 Infection With Multiorgan Involvement Followed by MIS-C in an Adolescent
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Children and adolescents with coronavirus disease 2019 (COVID-19) generally have mild symptoms. Severe infection due to severe acute respiratory syndrome coronavirus 2 (SARS CoV-2) involving multiorgan dysfunction is rare in this population. Herein, we present an unusual case of severe SARS-CoV-2 infection with multiorgan involvement followed by multisystem inflammatory syndrome in children (MIS-C) in a vaccinated 16-year-old boy. The patient was unconscious on initial presentation, and had severe paralytic ileus. On laboratory examination, there was severe metabolic acidosis, lymphocytopenia, thrombocytopenia, elevated inflammatory markers, elevated liver enzymes, and evidence of acute kidney injury with proteinuria and hematuria. His symptoms improved with the administration of remdesivir and dexamethasone. The patient briefly experienced MIS-C 2 weeks after the diagnosis of COVID-19, but the patient was discharged without any complications.
#COVID-19 #MIS-C associated with COVID-19 #SARS-CoV-2 #Children

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