A COVID-19 mystery: multisystem inflammatory syndrome in adults (MIS-A) associated with splenic rupture

被引：0

作者：

Isel, Isil ^{[1
]}

Serin, Istemi ^{[2
]}

Kolik, Beyza Kal ^{[1
]}

Goze, Hasan ^{[2
]}

Cinli, Tahir Alper ^{[2
]}

Huq, Gulben Erdem ^{[3
]}

Cicek, Mahmut Emin ^{[4
]}

Altindal, Sermin ^{[2
]}

Yokus, Osman ^{[2
]}

机构：

[1] Univ Hlth Sci, Istanbul Training & Res Hosp, Dept Internal Med, Istanbul, Turkiye

[2] Univ Hlth Sci, Istanbul Training & Res Hosp, Dept Hematol, Istanbul, Turkiye

[3] Univ Hlth Sci, Istanbul Training & Res Hosp, Dept Pathol, Istanbul, Turkiye

[4] Univ Hlth Sci, Istanbul Training & Res Hosp, Dept Gen Surg, Istanbul, Turkiye

来源：

NEW MICROBIOLOGICA | 2023年 / 46卷 / 01期

关键词：

COVID-19; multisystem inflammatory syndrome in adults (MIS-A); splenic rupture;

D O I：

暂无

中图分类号：

Q93 [微生物学];

学科分类号：

071005 ; 100705 ;

摘要：

Severe inflammation and one or more extrapulmonary organ dysfunctions have been observed in those who had recently developed COVID-19, except for a macrophage activation syndrome-like picture. A 50-year-old female patient was admitted to the emergency department with fever and a history of COVID-19 infection. More than one area of hemophagocytosis was found in the bone marrow aspiration. The HLH-2004 protocol was started with neurological involvement and she underwent splenectomy due to massive intra-abdominal bleeding secondary to splenic laceration on the 3rd day. Multiple microthrombosis and infarcts were observed in the splenectomy specimen. At the 4th week of the treatment, she was discharged with oral agents. Splenic microthrombosis and splenic rupture due to "multisystem inflammatory syndrome in adults " are the most important findings of this report.

引用

页码：81 / 85

页数：5

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