The Importance of Early Recognition, Timely Management, and the Role of Healthcare Providers in Multisystem Inflammatory Syndrome in Children.
The Importance of Early Recognition, Timely Management, and the Role of Healthcare Providers in Multisystem Inflammatory Syndrome in Children.
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DOI：
10.3346/jkms.2021.36.e17
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发表时间：
2021-01-11
影响因子：
4.5
通讯作者：
Lee JK
中科院分区：
文献类型：
--
作者：
Lee JH;Han HS;Lee JK
2020年4月，一份儿科报告，关于2019年冠状病毒病（COVID-19）的异常炎症性疾病导致欧洲和北美的类似病例，该病例被称为儿童多系统炎症综合症（MIS-C）。在本文中，我们描述了一个12岁男孩的案例，该男孩有一个聚合酶链反应史证实的史，并于19 COVID-19的初步诊断后大约三个星期开发了MIS-C。高烧腹痛模仿阑尾炎是MIS-C的最初表现，如果忽略了患者的Covid-19病史，可能很容易错过。 MIS-C发作五天后，静脉注射免疫球蛋白相隔两次，相隔24小时，并且患者在没有任何明显后遗症的情况下完全康复。疾病意识和迅速管理的早期认可是挽救MIS-C影响儿童生命的关键。
In April 2020, a pediatric report of an unusual inflammatory illness associated with coronavirus disease 2019 (COVID-19) led to similar cases in Europe and North America, which was referred to as multisystem inflammatory syndrome in children (MIS-C). Herein, we describe the case of a 12-year-old boy who had a history of polymerase chain reaction-confirmed COVID-19 and developed MIS-C approximately three weeks after an initial diagnosis of COVID-19. High fever with abdominal pain mimicking appendicitis was the initial manifestation of MIS-C, which could have been easily missed if the patient's history of COVID-19 was ignored. Intravenous immunoglobulin was administered twice, 24 hours apart, five days after the onset of MIS-C, and the patient fully recovered without any obvious sequelae. Early recognition by disease awareness and prompt management are the keys to saving the lives of children affected by MIS-C.
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