Subject: coronavirus disease
Subject: young adults
Subject: pneumonia
Subject: pleural effusion
Subject: rash
Subject: Kawasaki like disease
Year: 2022
Type: Article
Title: Challenging Case of Multisystem Inflammatory Syndrome in a 19- Year Old Female: A Case Report
Author: Spasovska Vasilova, Adrijana
Author: Rambabova Bushljetic, Irena
Author: Milenkova, Mimoza
Author: Canevska Taneska, Aleksandra
Author: Gjorgjievski, Nikola
Author: Pushevski, Vladimir
Author: Shterjova Markovska, Zhaklina
Author: Karanfilovski, Vlatko
Author: Filipovski, Stefan
Author: Severova Andreevska, Galina
Author: Nikolov, Igor
Author: Pavleska kuzmanoska, Svetlana
Author: Volkanovska, Anche
Author: Avramovski, Vladimir
Author: Trajcheska, Lada
Author: Spasovski, Goce
Abstract: Introduction. In comparison to older adults, SARSCoV-2, leads to a mild illness in children and young adults typically manifested with fever, cough and gastrointestinal symptoms. However, the multisystem inflammatory syndrome in children and young adults (MISC) emerged during the coronavirus disease in 2019 pandemic. Case report. We report a challenging case of a 19- year old female patient with signs and symptoms of multisystem inflammatory syndrome and SARS-CoV2 infection, most probably as a post infectious disease with onset between 2 to 4 weeks after the infection. Its clinical symptoms may have overlaped with classical Kawasaki disease (systemic vasculitis) or Kawasakilike syndrome (atypical) with fever, gastrointestinal symptoms, rash, conjunctival injection, hypotension, sore throat, mucosal changes with a relative lack of severe respiratory disease, myocarditis, hypoalbuminemia and elevated inflammatory markers. And indeed, the clinical presentation of COVID-19 in young adults resembles Kawasaki disease with gastrointestinal manifestations to severe inflammation with myocarditis. Conclusion. Timely diagnosis and proper treatment of the multisystem inflammatory syndrome and SARSCoV-2 infection are real challenge requiring multidisciplinary approach and tertiary resources.
Publisher: Macedonian Society of Nephrology, Dialysis, Transplantation and Artifical Organs, Department of Nephrology
Relation: BANTAO Journal
Identifier: oai:repository.ukim.mk:20.500.12188/26739
Identifier: 1312- 2517
Identifier: http://hdl.handle.net/20.500.12188/26739Identifier: https://www.bantaojournal.com/_files/ugd/356e34_80e909e3c5834c4a8a1f2adcbfe3a076.pdf
