A case of multisystem inflammatory syndrome in children presenting as acute appendicitis and pancreatitis.
Journal
Prilozi (Makedonska akademija na naukite i umetnostite. Oddelenie za medicinski nauki)
Date Issued
2021-10
Author(s)
Hasani, Arjeta
Cokleska Shuntov, Natalija
Abstract
Multisystem Inflammatory Syndrome in Children (MIS-C) is characterized by an inflammation with fever,
elevated inflammatory markers, conjunctivitis, rash, impaired coagulation, gastrointestinal symptoms
and cardiac abnormalities that may progress to multiorgan failure. The presence of a positive COVID-19
antigen via a PCR test, serological testing for antibodies or close contact with a person diagnosed with
COVID-19 helps differentiate MIS-C from other diseases.
Gastrointestinal symptoms are recognized to be associated with COVID-19 infection or MIS-C in children,
presenting as abdominal pain, gastrointestinal infection with watery stools, appendicitis, ileitis, pancreatitis
and hepatitis, confusing the diagnosis with other gastrointestinal diseases.
In this case report, we describe an 11 year old boy with MIS-C, who presents acute phlegmona of the ap pendix for which he undergoes appendectomy, accompanied with acute pancreatitis. These manifestations
of MIS-C in our patient resolved without additional complications after a 2 month follow up.
We call attention to MIS-C presenting in pediatric patients with fever and abdominal pain which might be
caused by appendicitis and pancreatitis, and we recommend abdominal imaging and additional laboratory
investigation to promote earlier diagnosis
elevated inflammatory markers, conjunctivitis, rash, impaired coagulation, gastrointestinal symptoms
and cardiac abnormalities that may progress to multiorgan failure. The presence of a positive COVID-19
antigen via a PCR test, serological testing for antibodies or close contact with a person diagnosed with
COVID-19 helps differentiate MIS-C from other diseases.
Gastrointestinal symptoms are recognized to be associated with COVID-19 infection or MIS-C in children,
presenting as abdominal pain, gastrointestinal infection with watery stools, appendicitis, ileitis, pancreatitis
and hepatitis, confusing the diagnosis with other gastrointestinal diseases.
In this case report, we describe an 11 year old boy with MIS-C, who presents acute phlegmona of the ap pendix for which he undergoes appendectomy, accompanied with acute pancreatitis. These manifestations
of MIS-C in our patient resolved without additional complications after a 2 month follow up.
We call attention to MIS-C presenting in pediatric patients with fever and abdominal pain which might be
caused by appendicitis and pancreatitis, and we recommend abdominal imaging and additional laboratory
investigation to promote earlier diagnosis
File(s)![Thumbnail Image]()
Loading...
Name
15 – L. Kareva (1).pdf
Size
497.76 KB
Format
Adobe PDF
Checksum
(MD5):ae691b1cd9637b6d5d7f2a1ecab158d7