COVID-19-associated Multisystem Inflammatory Syndrome in Children Presenting as Acute Pancreatitis

被引:26
作者
Stevens, James P. [1 ]
Brownell, Jefferson N. [2 ,3 ]
Freeman, A. Jay [1 ]
Bashaw, Hillary [1 ]
机构
[1] Childrens Healthcare Atlanta, Div Gastroenterol Hepatol & Nutr, Atlanta, GA USA
[2] Childrens Hosp Philadelphia, Div Gastroenterol Hepatol & Nutr, Philadelphia, PA 19104 USA
[3] Univ Penn, Dept Pediat, Perelman Sch Med, Philadelphia, PA 19104 USA
关键词
Kawasaki disease; multisystem inflammatory syndrome in children; pancreas; pediatric; SARS-CoV-2; KAWASAKI-DISEASE; COVID-19;
D O I
10.1097/MPG.0000000000002860
中图分类号
R57 [消化系及腹部疾病];
学科分类号
摘要
In April 2020, a newly recognized pediatric disorder associated with COVID-19 characterized by significant inflammation with symptoms resembling Kawasaki disease was described by medical teams in the United States, the United Kingdom, and Italy. Before these reports, data from the initial COVID-19 outbreaks in China had not found the virus to cause significant morbidity or mortality in children. To date, pancreatitis has not yet been reported in either acute SARS-CoV-2 infection in children or the subsequent inflammatory syndrome. We describe a patient who presented with acute pancreatitis before rapidly progressing to multisystem organ dysfunction consistent with multisystem inflammatory syndrome in children due to COVID-19. Clinicians should be aware that in the context of the COVID-19 pandemic, pancreatitis can be an early presentation of multisystem inflammatory syndrome in children.
引用
收藏
页码:669 / 671
页数:3
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