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Acute appendicitis presenting with MIS-C secondary to COVID-19
Amanda Sturgill1, Rachael Cannon1, Shivani Patel1
1Palms West Hospital, Pediatric Department, 13001 Southern Blvd, Loxahatchee, FL, 33470, USA.
Journal of Pediatric Surgery Case Reports
|August 12, 2022
Summary
Diagnosing acute appendicitis in children is challenging, especially with concurrent multisystem inflammatory syndrome in children (MIS-C). This series highlights three pediatric cases of appendicitis and MIS-C, complicating diagnosis and management.
Area of Science:
- Pediatric Gastroenterology
- Pediatric Infectious Diseases
- Pediatric Surgery
Background:
- Acute appendicitis is a common cause of pediatric abdominal pain.
- Diagnosing appendicitis in children is complex, exacerbated by comorbidities.
- Multisystem inflammatory syndrome in children (MIS-C) emerged with COVID-19.
Observation:
- This case series details three pediatric patients with concurrent acute appendicitis and MIS-C.
- These cases resulted from prior COVID-19 infection.
- The presentation involved significant diagnostic and management challenges.
Findings:
- Concurrent MIS-C presentation complicated the typical diagnosis of acute appendicitis.
- Standard diagnostic tools for appendicitis may be less reliable in MIS-C patients.
- Management required careful consideration of both conditions.
Implications:
- Clinicians must consider MIS-C in children presenting with appendicitis-like symptoms post-COVID-19.
- Awareness of this overlap is crucial for accurate diagnosis and timely treatment.
- Further research is needed to understand this complex interaction.
Keywords:
Acute appendicitisCOVID-19Multisystem inflammatory syndrome in childrenPediatric surgeryPediatricsMore Related Videos
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