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Multisystem Inflammatory Syndrome in Children
Sydney Tabaac1, Poonam Kothari1, Tara Cassidy-Smith1
1Department of Emergency Medicine, Cooper University Hospital, Camden, New Jersey.
Insights
Multisystem inflammatory syndrome in children (MIS-C) is a rare condition associated with COVID-19, presenting with diverse symptoms. Early recognition by emergency physicians is crucial to prevent severe complications.
Area of Science:
- Pediatric infectious diseases
- Critical care medicine
- Cardiology
Background:
- Increasing global cases of COVID-19 have led to the identification of a rare associated condition in children.
- This condition is known as multisystem inflammatory syndrome in children (MIS-C).
- MIS-C presents with varied clinical manifestations including shock, Kawasaki-like disease, and coronary artery abnormalities.
Background:
As the number of coronavirus disease 2019 (COVID-19) cases increases globally, more cases of a rare COVID-19-associated disease process are being identified in the pediatric population. This syndrome is referred to as multisystem inflammatory syndrome in children (MIS-C). Clinical manifestations of the syndrome vary and include one or a combination of the following: vasodilatory shock, cardiogenic shock, Kawasaki-like disease, cytokine storming, coronary artery dilatation, and aneurysms.
Case Report:
This case report describes the presentation, findings, workup, and treatment for a 9-year-old boy diagnosed with MIS-C. WHY SHOULD AN EMERGENCY PHYSICIAN BE AWARE OF THIS?: It is important to recognize MIS-C, as it shares many of the same features as other disease processes, for example, Kawasaki disease and toxic shock syndrome, but has different complications if left untreated.
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