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CC BY-NC-ND 4.0 · Avicenna J Med 2021; 11(04): 221-224
DOI: 10.1055/s-0041-1734387
Case Report

An Arab Adolescent with Multisystem Inflammatory Syndrome Associated with COVID-19: A Report from Syria

Jaafer Zaino
1   Intensive Care Unit, Syrian Mouassat Association Hospital, Damascus, Syria
,
Abdullah Bakri
1   Intensive Care Unit, Syrian Mouassat Association Hospital, Damascus, Syria
,
Amani Al Sayed Ahmad
1   Intensive Care Unit, Syrian Mouassat Association Hospital, Damascus, Syria
,
Ghadeer Hadba
1   Intensive Care Unit, Syrian Mouassat Association Hospital, Damascus, Syria
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Abstract

Multisystem inflammatory syndrome in children (MIS-C) is a rare and critical condition that affects children following exposure to severe acute respiratory syndrome Coronavirus 2 (SARS-CoV-2) infection, leading to multiorgan dysfunction and shock. MIS-C has been reported from different parts of the world but rarely from Arab countries. In this report, we describe a 15-year-old Arab boy who was admitted to the ICU during the surge of Coronavirus transmission in Syria with a clinical picture consistent with MIS-C, including high-grade fever, gastrointestinal symptoms, rash, multiorgan dysfunction, and shock. Laboratory profile showed significant elevation of inflammatory markers, negative SARS-CoV-2 RT-PCR testing but positive serologic testing for SARS-CoV-2. The patient received intravenous immunoglobulins (IVIG) and glucocorticoids with remarkable cardiac improvement and significant alleviation in inflammatory markers. To our knowledge, this is the first reported case of MIS-C from Syria, which adds to the epidemiological data about this new syndrome.

Keywords

arab - coronavirus disease 2019 (COVID-19) - kawasaki disease - multisystem inflammatory syndrome in children (MIS-C) - severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2)


Publication History

Article published online:
16 September 2021

© 2021. Syrian American Medical Society. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial-License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/).

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