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 |
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Erscheinungsjahr: |
2020 |
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Erschienen: |
2020 |
Enthalten in: |
Zur Gesamtaufnahme - volume:164 |
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Enthalten in: |
Nederlands tijdschrift voor geneeskunde - 164(2020) vom: 22. Okt. |
Sprache: |
Niederländisch |
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Weiterer Titel: |
Covid-19-geassocieerde hyperinflammatie |
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Beteiligte Personen: |
Blink, Marjolein [VerfasserIn] |
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Themen: |
Anti-Inflammatory Agents |
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Anmerkungen: |
Date Completed 13.01.2021 Date Revised 13.01.2021 published: Electronic Citation Status MEDLINE |
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Förderinstitution / Projekttitel: |
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PPN (Katalog-ID): |
NLM318967626 |
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520 | |a 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 | ||
650 | 4 | |a Case Reports | |
650 | 4 | |a Journal Article | |
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650 | 7 | |a Cardiotonic Agents |2 NLM | |
650 | 7 | |a Immunoglobulins, Intravenous |2 NLM | |
650 | 7 | |a Vasoconstrictor Agents |2 NLM | |
650 | 7 | |a Milrinone |2 NLM | |
650 | 7 | |a JU9YAX04C7 |2 NLM | |
650 | 7 | |a Aspirin |2 NLM | |
650 | 7 | |a R16CO5Y76E |2 NLM | |
650 | 7 | |a Methylprednisolone |2 NLM | |
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700 | 1 | |a Filippini, Luc H P M |e verfasserin |4 aut | |
700 | 1 | |a Brinkman, Daniëlle M C |e verfasserin |4 aut | |
700 | 1 | |a Joosten, Simone A |e verfasserin |4 aut | |
700 | 1 | |a Klein, Richard H |e verfasserin |4 aut | |
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