Multisystem Inflammatory Syndrome in Children - A New Syndrome Complicated With Acute Heart Failure Following Severe Acute Respiratory Syndrome Coronavirus 2 (SARS-CoV-2) Infection -

被引:11
作者
Uchida, Momoko [1 ]
Kashima, Yuichiro [1 ]
Mochizuki, Katsunori [1 ]
Sakamoto, Hiroto [1 ]
Mori, Kotaro [1 ]
Ebisawa, Soichiro [2 ]
Takeshige, Kanako [1 ]
Nitta, Kenichi [1 ]
Kuwahara, Koichiro [2 ]
Imamura, Hiroshi [1 ]
机构
[1] Shinshu Univ, Dept Emergency & Crit Care Med, Sch Med, 3-1-1 Asahi, Matsumoto, Nagano 3908621, Japan
[2] Shinshu Univ, Dept Cardiol, Sch Med, Matsumoto, Nagano, Japan
基金
日本学术振兴会;
关键词
Multisystem inflammatory syndrome in children (MIS-C); Myocarditis; Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2); DISEASE; SHOCK;
D O I
10.1253/circj.CJ-21-0243
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Background: Multisystem inflammatory syndrome in children (MIS-C) is a rare syndrome temporally related to severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2). MIS-C shares similarities with Kawasaki disease, but left ventricular dysfunction is more common in MIS-C. Methods and Results: This study reports the case of a 16-year-old Japanese male patient with MIS-C. Although the initial presentation was severe with circulatory and respiratory failure, the patient recovered completely. Endomyocardial biopsy showed active myocarditis with fibrosis. Immunoglobulin treatment was useful for recovery. Conclusions: This is the first reported case of MIS-C in Japan. Cardiologists should be aware of MIS-C, a new disease, occurring during the global SARS-CoV-2 pandemic.
引用
收藏
页码:948 / 952
页数:5
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