CC BY-NC-ND 4.0 · Avicenna J Med
DOI: 10.1055/s-0041-1734387
Case Report

An Arab Adolescent with Multisystem Inflammatory Syndrome Associated with COVID-19: A Report from Syria

Jaafer Zaino
1  Intensive Care Unit, Syrian Mouassat Association Hospital, Damascus, Syria
,
Abdullah Bakri
1  Intensive Care Unit, Syrian Mouassat Association Hospital, Damascus, Syria
,
Amani Al Sayed Ahmad
1  Intensive Care Unit, Syrian Mouassat Association Hospital, Damascus, Syria
,
Ghadeer Hadba
1  Intensive Care Unit, Syrian Mouassat Association Hospital, Damascus, Syria
› Author Affiliations

Abstract

Multisystem inflammatory syndrome in children (MIS-C) is a rare and critical condition that affects children following exposure to severe acute respiratory syndrome Coronavirus 2 (SARS-CoV-2) infection, leading to multiorgan dysfunction and shock. MIS-C has been reported from different parts of the world but rarely from Arab countries. In this report, we describe a 15-year-old Arab boy who was admitted to the ICU during the surge of Coronavirus transmission in Syria with a clinical picture consistent with MIS-C, including high-grade fever, gastrointestinal symptoms, rash, multiorgan dysfunction, and shock. Laboratory profile showed significant elevation of inflammatory markers, negative SARS-CoV-2 RT-PCR testing but positive serologic testing for SARS-CoV-2. The patient received intravenous immunoglobulins (IVIG) and glucocorticoids with remarkable cardiac improvement and significant alleviation in inflammatory markers. To our knowledge, this is the first reported case of MIS-C from Syria, which adds to the epidemiological data about this new syndrome.



Publication History

Publication Date:
16 September 2021 (online)

© . Syrian American Medical Society. This is an open access article published by Thieme under the terms of the Creative Commons Attribution License, permitting unrestricted use, distribution, and reproduction so long as the original work is properly cited. (https://creativecommons.org/licenses/by/4.0/).

Thieme Medical and Scientific Publishers Private Limited
A-12, Second Floor, Sector -2, Noida-201301, Uttar Pradesh