The First Case of Multisystem Inflammatory Syndrome in Adult after COVID-19 in Korea

© 2021 The Korean Academy of Medical Sciences..

Multisystem inflammatory disease in children is a Kawasaki disease like illness occurring after severe acute respiratory syndrome coronavirus 2 infection in children. As the pandemic progresses, similar syndromes were also reported in adult with a decreased incidence. Multisystem inflammatory syndrome in adults (MIS-A) can be characterized with shock, heart failure, and gastrointestinal symptoms with elevated inflammatory markers after coronavirus disease 2019 (COVID-19) infection. Herein, we describe the first case of MIS-A in South Korea. A 38-year-old man presented to our hospital with a 5-day history of abdominal pain and fever. He had been treated with antibiotics for 5 days at the previous hospital, but symptoms had worsened and he had developed orthopnea on the day of presentation. He suffered COVID-19 six weeks ago. Laboratory data revealed elevated white blood cell counts with neutrophil dominance, C-reactive protein, and B-type natriuretic peptide. Chest X-ray showed normal lung parenchyme and echocardiography showed severe biventricular failure with normal chamber size. We diagnosed him as MIS-A and treated with intravenous immunoglobulin and steroid.

Medienart:

E-Artikel

Erscheinungsjahr:

2021

Erschienen:

2021

Enthalten in:

Zur Gesamtaufnahme - volume:36

Enthalten in:

Journal of Korean medical science - 36(2021), 25 vom: 28. Juni, Seite e181

Sprache:

Englisch

Beteiligte Personen:

Chung, Hyemin [VerfasserIn]
Seo, Hyeonji [VerfasserIn]
Park, Sunghee [VerfasserIn]
Kim, Haein [VerfasserIn]
Jung, Jiwon [VerfasserIn]
Chong, Yong Pil [VerfasserIn]
Kim, Sung Han [VerfasserIn]
Lee, Sang Oh [VerfasserIn]
Choi, Sang Ho [VerfasserIn]
Kim, Yang Soo [VerfasserIn]
Kim, Min Jae [VerfasserIn]

Links:

Volltext

Themen:

Adrenal Cortex Hormones
Adult
COVID-19
Case Reports
Immunoglobulins, Intravenous
Multisystem Inflammatory Syndrome

Anmerkungen:

Date Completed 05.07.2021

Date Revised 07.07.2021

published: Electronic

Citation Status MEDLINE

doi:

10.3346/jkms.2021.36.e181

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM327314257