%0 Journal Article
%T Tricky Presentation of Multisystem Inflammatory Syndrome in Children (MIS-C) with in Pediatric
%A Hareth Aldosaimani
%A Mayada Dawoud Khairi
%A Mohammed Ayaad
%J Open Journal of Pediatrics
%P 196-202
%@ 2160-8776
%D 2022
%I Scientific Research Publishing
%R 10.4236/ojped.2022.121021
%X <strong>Introduction:</strong> <span><span><span style=\"font-family:&quot;\"><span style=\"font-family:Verdana;\">In emergence a COVID patient with multisystem inflammatory syndrome in
children (MIS-C), associated with SARS-CoV-2, has shown increasing number among
pediatric. Even the same presentation of Kawasaki disease we have to keep in
mind MIS-C, in order to reach a consensus on this new disease in the future.
Three variations of the disease patterns were reported: a group of children
with increase in inflammatory activity and persistent fever, without criteria
for Kawasaki disease, a second group with Kawasaki disease criteria, and a
third group with shock, coronary aneurysms, severe cardiac dysfunction, and
gastrointestinal symptoms. Classic Kawasaki disease is self-limited vasculitis
which affects medium-sized vessels, almost occurred in children under five
years old. Here, we bring a Saudi case, present to emergency department in
Prince Sultan Military Medical City. </span><b><span style=\"font-family:Verdana;\">Case report:</span></b><span style=\"font-family:Verdana;\"> 10 years old female,
medically free, presented with abdominal pain, fever and skin rashes. Patient
had history of COVID-19 infection 1 month before presentation.</span></span></span></span><span><span><span style=\"font-family:&quot;\"> </span></span></span><span><span><span style=\"font-family:&quot;\"><span style=\"font-family:Verdana;\">Initial investigations
showed acute kidney injury with elevated inflammatory markers. </span><b><span style=\"font-family:Verdana;\">Conclusion: </span></b><span style=\"font-family:Verdana;\">Further
evidence of the increase in </span><span style=\"font-family:Verdana;\">the incidence of
pediatric MIS-C, temporarily </span></span></span></span><span style=\"font-family:Verdana;\"><span style=\"font-family:Verdana;\"><span style=\"font-family:Verdana;\">is </span></span></span><span style=\"font-family:Verdana;\"><span style=\"font-family:Verdana;\"><span style=\"font-family:Verdana;\">associated with S</span></span></span><span style=\"font-family:Verdana;\"><span style=\"font-family:Verdana;\"><span style=\"font-family:Verdana;\">ARS-CoV-2. Physician should give more attentions to this new diagnosis
with more fatal outcomes than Kawasaki cases.</span></span></span>
%K Kawasaki or Kawasaki-Like Syndrome
%K Vasculitis
%K Multi Organ Failure
%K Myo-carditis
%K Fever
%K Abdominal Pain
%K Skin Rash
%K Intravenous Immunoglobulin
%K Acute Kidney Injury and Raised Inflammatory Markers
%U http://www.scirp.org/journal/PaperInformation.aspx?PaperID=115804