Abstract
Pediatric inflammatory multisystem syndrome temporally associated with coronavirus
disease 2019 (COVID-19) is an emerging rare disease reported in children 4 to 6 weeks
after a usually asymptomatic COVID-19 infection. Though it usually presents as a Kawasaki-like
illness or toxic shock syndrome, other multisystem presentations have been reported.
Presentation as hemiplegia, however, is rare. Here, we describe a child with acute
hemiplegia and rapidly progressive shock, who responded dramatically to steroids and
intravenous immunoglobulin and experienced a full recovery. By reporting this case,
we wish to add to the literature this atypical presentation of this novel disease,
and highlight the importance of quickly diagnosing and treating this life-threatening
disease.
Keywords
PIMS-TS - COVID-19 - TIA - pediatric - stroke - hemiplegia