학술논문
Challenging Case of Multisystem Inflammatory Syndrome in a 19-Year Old Female: A Case Report.
Document Type
Article
Author
Vasilova, Adrijana Spasovska; Bushljetikj, Irena Rambabova; Milenkova, Mimoza; Taneska, Aleksandra Canevska; Gjorgjievski, Nikola; Pushevski, Vladimir; Markovska, Zaklina Shterjova; Karanfilovski, Vlatko; Filipovski, Stefan; Severova, Galina; Nikolov, Igor; Kuzmanoska, Svetlana Pavleska; Volkanovska, Anche; Avramovski, Vladimir; Trajceska, Lada; Spasovski, Goce
Source
Subject
*MULTISYSTEM inflammatory syndrome
*COVID-19 pandemic
*
Language
ISSN
1312-2517
Abstract
Introduction. In comparison to older adults, SARSCoV-2, leads to a mild illness in children and young adults typically manifested with fever, cough and gastrointestinal symptoms. However, the multisystem inflammatory syndrome in children and young adults (MISC) emerged during the coronavirus disease in 2019 pandemic. Case report. We report a challenging case of a 19-year old female patient with signs and symptoms of multisystem inflammatory syndrome and SARS-CoV-2 infection, most probably as a post infectious disease with onset between 2 to 4 weeks after the infection. Its clinical symptoms may have overlaped with classical Kawasaki disease (systemic vasculitis) or Kawasakilike syndrome (atypical) with fever, gastrointestinal symptoms, rash, conjunctival injection, hypotension, sore throat, mucosal changes with a relative lack of severe respiratory disease, myocarditis, hypoalbuminemia and elevated inflammatory markers. And indeed, the clinical presentation of COVID-19 in young adults resembles Kawasaki disease with gastrointestinal manifestations to severe inflammation with myocarditis. Conclusion. Timely diagnosis and proper treatment of the multisystem inflammatory syndrome and SARSCoV-2 infection are real challenge requiring multidisciplinary approach and tertiary resources. [ABSTRACT FROM AUTHOR]