COVID-19-associated hyperinflammatory state in a 15-year-old female patient

Paediatric Multisystem Inflammatory Syndrome Temporally Related to SARS-CoV-2 (PIMS-TS) is a rare novel clinical entity observed in children and adolescents with evidence of a recent COVID-19 infection, and is characterized by a marked hyperinflammatory state with involvement of multiple organ systems.We report a case of a previously healthy 15-year-old female patient, who was admitted to paediatric intensive care with cardiac failure and was subsequently shown to have positive COVID-19 serology. The presenting symptoms were fever, cough, chest pain and gastro-intestinal symptoms. She was supported with milrinone and a low dose of vasopressors. Her hyperinflammatory state was treated with intravenous immunoglobulins, high dose aspirin and high-dose methylprednisolone. PIMS-TS is a rare, potentially life threatening novel clinical entity in children and adolescents with evidence of a COVID-19 infection. Clinicians need to be aware of the possibility of this new disease, to ensure prompt recognition and treatment.

Medienart:

E-Artikel

Erscheinungsjahr:

2020

Erschienen:

2020

Enthalten in:

Zur Gesamtaufnahme - volume:164

Enthalten in:

Nederlands tijdschrift voor geneeskunde - 164(2020) vom: 22. Okt.

Sprache:

Niederländisch

Weiterer Titel:

Covid-19-geassocieerde hyperinflammatie

Beteiligte Personen:

Blink, Marjolein [VerfasserIn]
Buddingh', Emilie P [VerfasserIn]
Filippini, Luc H P M [VerfasserIn]
Brinkman, Daniëlle M C [VerfasserIn]
Joosten, Simone A [VerfasserIn]
Klein, Richard H [VerfasserIn]

Themen:

Anti-Inflammatory Agents
Aspirin
Cardiotonic Agents
Case Reports
Immunoglobulins, Intravenous
JU9YAX04C7
Journal Article
Methylprednisolone
Milrinone
R16CO5Y76E
Vasoconstrictor Agents
X4W7ZR7023

Anmerkungen:

Date Completed 13.01.2021

Date Revised 13.01.2021

published: Electronic

Citation Status MEDLINE

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM318967626