학술논문
Atrial fibrillation in a child with multisystem inflammatory syndrome in children.
Document Type
Article
Source
Subject
*THERAPEUTIC use of immunoglobulins
*ATRIAL fibrillation diagnosis
*ECHOCARDIOGRAPHY
*METHYLPREDNISOLONE
*MULTISYSTEM inflammatory syndrome
*COVID-19
*TREATMENT effectiveness
*ASPIRIN
*ELECTRIC countershock
*RARE diseases
*CHILDREN
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Language
ISSN
0974-2069
Abstract
Atrial fibrillation (AF) is a rare complication of multisystem inflammatory syndrome in children (MIS-C) associated with severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection. A 10-year-old boy with a history of SARS-CoV-2 infection 10 weeks before presentation developed AF following the onset of MIS-C. The patient presented with high fever, conjunctival congestion, erythematous throat, and a diffuse erythematous macular rash involving the face and both legs, in addition to respiratory distress and shock requiring oxygen and vasopressor support. Echocardiography revealed poor left ventricular contractility and normal-appearing coronary vessels. The patient received intravenous immunoglobulin, pulse methylprednisolone, and aspirin. AF resolved with synchronized cardioversion and the patient's clinical condition subsequently improved. This case reports a rare phenomenon of AF in a case of MIS-C. Further research is required to verify the association. [ABSTRACT FROM AUTHOR]