COVID-19 Multisystem Inflammatory Syndrome in Children (MIS-C) simulating as acute appendicitis: A case report

Authors

  • Zorays Moazzam Medical College, Aga Khan University Hospital, Karachi, Pakistan
  • Areej Salim The Aga Khan University Hospital
  • Kiran Hilal Aga Khan University Hospital, Karachi, Pakistan
  • Muhammad Arshad Aga Khan University Hospital, Karachi, Pakistan

DOI:

https://doi.org/10.46831/jpas.v1i1.31

Keywords:

COVID-19, SARS-CoV-2, Multisystem Inflammatory Syndrome in Children (MIS-C), Kawasaki Disease

Abstract

Background: As the COVID-19 pandemic continues to disrupt global affairs through a variety of manifestations, a severe presentation of some COVID-19 pediatric patients has emerged, presenting as multisystem inflammatory syndrome in children (MIS-C) that may mimic surgical conditions.

Case Presentation: We report the case of a 9-year-old boy who presented with acute, intermittent abdominal pain and fever. Further inquiry suggested a hyperinflammatory disorder affecting multiple organ systems. Upon COVID-19 PCR testing, the patient was reported as COVID-19 positive in the second test on the 2nd day of admission, after an initial negative test upon admission. We describe the course of this patient’s disease from presentation until discharge and discuss the emerging literature on this potentially fatal complication.

Conclusion: MIS-C should be a differential diagnosis in patients who may present with acute abdominal pain in the emergency room.

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Author Biographies

Areej Salim, The Aga Khan University Hospital

Corresponding author

Kiran Hilal, Aga Khan University Hospital, Karachi, Pakistan

Department of Radiology,

Muhammad Arshad, Aga Khan University Hospital, Karachi, Pakistan

Professor of Pediatric Surgery

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Published

2020-08-15

How to Cite

1.
Moazzam Z, Salim A, Hilal K, Arshad M. COVID-19 Multisystem Inflammatory Syndrome in Children (MIS-C) simulating as acute appendicitis: A case report. J Pediatr Adolesc Surg [Internet]. 2020Aug.15 [cited 2020Nov.26];1(1):56-9. Available from: http://jpedas.org/ojs/index.php/jpedas/article/view/31
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