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Abdominal pain in covid times: time to think twice

M-A Noreillie1, F Dedeurwaerdere2, J Jijo3

  • 1Gastroenterology department, AZ Delta, Roeselare, Belgium.

Acta Gastro-Enterologica Belgica
|June 16, 2022
PubMed

Insights

Multisystem inflammatory syndrome in children (MIS-C) can cause acute heart failure, even in adolescents presenting with abdominal pain. Early recognition of MIS-C is crucial for timely intervention and potentially life-saving treatment.

Area of Science:

  • Pediatrics
  • Cardiology
  • Infectious Diseases

Background:

  • Multisystem inflammatory syndrome in children (MIS-C) is a rare but serious condition that can occur weeks after COVID-19 infection.
  • MIS-C presents with diverse symptoms, including shock, Kawasaki disease-like features, and gastrointestinal issues.
  • Gastrointestinal symptoms are common in MIS-C, necessitating broad diagnostic considerations.

Observation:

  • A 17-year-old patient presented with fever, abdominal pain, and elevated inflammatory markers.
  • The patient rapidly developed acute systolic heart failure and biopsy-confirmed myocarditis.
  • Diagnostic criteria for MIS-C were met, highlighting gastrointestinal symptoms as a potential early sign.

Findings:

  • Abdominal pain can be an initial presenting symptom of MIS-C.
  • MIS-C can lead to severe cardiac complications, such as acute heart failure and myocarditis.
  • A multidisciplinary approach is essential for managing MIS-C patients.

Implications:

  • This case underscores the importance of considering MIS-C in pediatric patients with abdominal pain and inflammatory markers.
  • Awareness of MIS-C's varied presentations is crucial for timely diagnosis and intervention.
  • Prompt recognition and management can improve outcomes and prevent life-threatening complications in children and young adults.

Keywords:
COVID-19MIS-CPIMSmyocarditis

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