CC BY-NC-ND 4.0 · AJP Rep 2024; 14(01): e66-e68
DOI: 10.1055/s-0044-1779032
Case Report

A Pregnant Adolescent with COVID-19 and Multisystem Inflammatory Syndrome in Children

Megan E. Trostle
1   Division of Maternal-Fetal Medicine, Department of Obstetrics and Gynecology, NYU Langone Medical Center, New York, New York
,
Tracy B. Grossman
1   Division of Maternal-Fetal Medicine, Department of Obstetrics and Gynecology, NYU Langone Medical Center, New York, New York
,
1   Division of Maternal-Fetal Medicine, Department of Obstetrics and Gynecology, NYU Langone Medical Center, New York, New York
,
2   Division of Pediatric Cardiology, Department of Pediatrics, Hassenfeld Children's Hospital at NYU Langone Medical Center, New York, New York
,
Vanessa N. Raabe
3   Division of Pediatric Infectious Diseases, Department of Pediatrics, NYU Grossman School of Medicine, New York, New York
4   Division of Infectious Diseases and Immunology, Department of Medicine, NYU Grossman School of Medicine and NYU Langone Vaccine Center, New York, New York
,
Mark F. Sloane
5   Division of Pulmonary and Critical Care Medicine, NYU Langone Medical Center, New York, New York
,
1   Division of Maternal-Fetal Medicine, Department of Obstetrics and Gynecology, NYU Langone Medical Center, New York, New York
› Author Affiliations

Abstract

Multisystem inflammatory syndrome in children (MIS-C), a new condition related to coronavirus disease 2019 (COVID-19) in the pediatric population, was recognized by physicians in the United Kingdom in April 2020. Given those up to the age of 21 years can be affected, pregnant adolescents and young adults are susceptible. However, there is scant information on how MIS-C may affect pregnancy and whether the presentation differs in the pregnant population. We report a case of a pregnant adolescent with COVID-19 and MIS-C with a favorable outcome. This case highlights the considerations in managing a critically ill pregnant patient with a novel illness and the importance of a multidisciplinary team in coordinating care.



Publication History

Received: 10 July 2020

Accepted: 22 October 2023

Article published online:
18 February 2024

© 2024. The Author(s). 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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  • References

  • 1 Center for Disease Control and Prevention. Coronavirus disease 2019 in children – United States, February 12–April 2, 2020. MMWR Morb Mortal Wkly Rep 2020; 69 (14) 422-426
  • 2 Riphagen S, Gomez X, Gonzalez-Martinez C, Wilkinson N, Theocharis P. Hyperinflammatory shock in children during COVID-19 pandemic. Lancet 2020; 395 (10237): 1607-1608
  • 3 Health Alert Network (HAN). Multisystem Inflammatory Syndrome in Children (MIS-C) Associated with Coronavirus Disease 2019 (COVID-19). Accessed May 22, 2020, at: https://emergency.cdc.gov/han/2020/han00432.asp
  • 4 Verdoni L, Mazza A, Gervasoni A. et al. An outbreak of severe Kawasaki-like disease at the Italian epicentre of the SARS-CoV-2 epidemic: an observational cohort study. Lancet 2020; 395 (10239): 1771-1778
  • 5 Center for Disease Control and Prevention. Center for Preparedness and Response: Multisystem Inflammatory Syndrome in Children (MIS-C) Associated with Coronavirus Disease 2019 (COVID-19), Clinician Outreach and Communication (COCA) Webinar. [cited May 22, 2020]. Accessed May 22, 2020 at: https://emergency.cdc.gov/coca/calls/2020/callinfo_051920.asp?deliveryName=USCDC_1052-DM28623
  • 6 Belhadjer Z, Méot M, Bajolle F. et al. Acute heart failure in multisystem inflammatory syndrome in children (MIS-C) in the context of global SARS-CoV-2 pandemic. Circulation 2020; 142 (05) 429-436
  • 7 Penfield CA, Brubaker SG, Limaye MA. et al. Detection of severe acute respiratory syndrome coronavirus 2 in placental and fetal membrane samples. Am J Obstet Gynecol MFM 2020; 2 (03) 100133
  • 8 Shanes ED, Mithal LB, Otero S, Azad HA, Miller ES, Goldstein JA. Placental pathology in COVID-19. Am J Clin Pathol 2020; 154 (01) 23-32