Publication
Kawasaki-Like Syndrome as an Emerging Complication of SARS-CoV-2 Infection in Young Adults
| dc.contributor.author | Germano, N | |
| dc.contributor.author | Pelicano Paulos, J | |
| dc.contributor.author | Botelho Cardoso, F | |
| dc.contributor.author | Ferreira, AT | |
| dc.contributor.author | Burgi Vieira, C | |
| dc.date.accessioned | 2024-02-22T15:30:03Z | |
| dc.date.available | 2024-02-22T15:30:03Z | |
| dc.date.issued | 2020 | |
| dc.description.abstract | 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. | pt_PT |
| dc.description.version | info:eu-repo/semantics/publishedVersion | pt_PT |
| dc.identifier.citation | Eur J Case Rep Intern Med . 2020 Sep 10;7(10):001886. | pt_PT |
| dc.identifier.doi | 10.12890/2020_001886 | pt_PT |
| dc.identifier.uri | http://hdl.handle.net/10400.17/4810 | |
| dc.language.iso | eng | pt_PT |
| dc.peerreviewed | yes | pt_PT |
| dc.subject | CHLC ANS | pt_PT |
| dc.subject | CHLC MED | pt_PT |
| dc.subject | HCC UCI | pt_PT |
| dc.subject | COVID-19 | pt_PT |
| dc.subject | Kawasaki Syndrome | pt_PT |
| dc.subject | Adult | pt_PT |
| dc.subject | Multisystem Inflammatory Syndrome | pt_PT |
| dc.subject | Vasculitis | pt_PT |
| dc.title | Kawasaki-Like Syndrome as an Emerging Complication of SARS-CoV-2 Infection in Young Adults | pt_PT |
| dc.type | journal article | |
| dspace.entity.type | Publication | |
| oaire.citation.issue | 10 | pt_PT |
| oaire.citation.title | European Journal of Case Reports in Internal Medicine | pt_PT |
| oaire.citation.volume | 7 | pt_PT |
| rcaap.rights | openAccess | pt_PT |
| rcaap.type | article | pt_PT |