Cargando…
The First Case of Multisystem Inflammatory Syndrome in Adult after COVID-19 in Korea
Multisystem inflammatory disease in children is a Kawasaki disease like illness occurring after severe acute respiratory syndrome coronavirus 2 infection in children. As the pandemic progresses, similar syndromes were also reported in adult with a decreased incidence. Multisystem inflammatory syndro...
Autores principales: | , , , , , , , , , , |
---|---|
Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
The Korean Academy of Medical Sciences
2021
|
Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8239424/ https://www.ncbi.nlm.nih.gov/pubmed/34184438 http://dx.doi.org/10.3346/jkms.2021.36.e181 |
_version_ | 1783715074540568576 |
---|---|
author | Chung, Hyemin Seo, Hyeonji Park, Sunghee Kim, Haein Jung, Jiwon Chong, Yong Pil Kim, Sung-Han Lee, Sang-Oh Choi, Sang-Ho Kim, Yang Soo Kim, Min Jae |
author_facet | Chung, Hyemin Seo, Hyeonji Park, Sunghee Kim, Haein Jung, Jiwon Chong, Yong Pil Kim, Sung-Han Lee, Sang-Oh Choi, Sang-Ho Kim, Yang Soo Kim, Min Jae |
author_sort | Chung, Hyemin |
collection | PubMed |
description | Multisystem inflammatory disease in children is a Kawasaki disease like illness occurring after severe acute respiratory syndrome coronavirus 2 infection in children. As the pandemic progresses, similar syndromes were also reported in adult with a decreased incidence. Multisystem inflammatory syndrome in adults (MIS-A) can be characterized with shock, heart failure, and gastrointestinal symptoms with elevated inflammatory markers after coronavirus disease 2019 (COVID-19) infection. Herein, we describe the first case of MIS-A in South Korea. A 38-year-old man presented to our hospital with a 5-day history of abdominal pain and fever. He had been treated with antibiotics for 5 days at the previous hospital, but symptoms had worsened and he had developed orthopnea on the day of presentation. He suffered COVID-19 six weeks ago. Laboratory data revealed elevated white blood cell counts with neutrophil dominance, C-reactive protein, and B-type natriuretic peptide. Chest X-ray showed normal lung parenchyme and echocardiography showed severe biventricular failure with normal chamber size. We diagnosed him as MIS-A and treated with intravenous immunoglobulin and steroid. |
format | Online Article Text |
id | pubmed-8239424 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2021 |
publisher | The Korean Academy of Medical Sciences |
record_format | MEDLINE/PubMed |
spelling | pubmed-82394242021-07-06 The First Case of Multisystem Inflammatory Syndrome in Adult after COVID-19 in Korea Chung, Hyemin Seo, Hyeonji Park, Sunghee Kim, Haein Jung, Jiwon Chong, Yong Pil Kim, Sung-Han Lee, Sang-Oh Choi, Sang-Ho Kim, Yang Soo Kim, Min Jae J Korean Med Sci Case Report Multisystem inflammatory disease in children is a Kawasaki disease like illness occurring after severe acute respiratory syndrome coronavirus 2 infection in children. As the pandemic progresses, similar syndromes were also reported in adult with a decreased incidence. Multisystem inflammatory syndrome in adults (MIS-A) can be characterized with shock, heart failure, and gastrointestinal symptoms with elevated inflammatory markers after coronavirus disease 2019 (COVID-19) infection. Herein, we describe the first case of MIS-A in South Korea. A 38-year-old man presented to our hospital with a 5-day history of abdominal pain and fever. He had been treated with antibiotics for 5 days at the previous hospital, but symptoms had worsened and he had developed orthopnea on the day of presentation. He suffered COVID-19 six weeks ago. Laboratory data revealed elevated white blood cell counts with neutrophil dominance, C-reactive protein, and B-type natriuretic peptide. Chest X-ray showed normal lung parenchyme and echocardiography showed severe biventricular failure with normal chamber size. We diagnosed him as MIS-A and treated with intravenous immunoglobulin and steroid. The Korean Academy of Medical Sciences 2021-06-16 /pmc/articles/PMC8239424/ /pubmed/34184438 http://dx.doi.org/10.3346/jkms.2021.36.e181 Text en © 2021 The Korean Academy of Medical Sciences. https://creativecommons.org/licenses/by-nc/4.0/This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (https://creativecommons.org/licenses/by-nc/4.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Case Report Chung, Hyemin Seo, Hyeonji Park, Sunghee Kim, Haein Jung, Jiwon Chong, Yong Pil Kim, Sung-Han Lee, Sang-Oh Choi, Sang-Ho Kim, Yang Soo Kim, Min Jae The First Case of Multisystem Inflammatory Syndrome in Adult after COVID-19 in Korea |
title | The First Case of Multisystem Inflammatory Syndrome in Adult after COVID-19 in Korea |
title_full | The First Case of Multisystem Inflammatory Syndrome in Adult after COVID-19 in Korea |
title_fullStr | The First Case of Multisystem Inflammatory Syndrome in Adult after COVID-19 in Korea |
title_full_unstemmed | The First Case of Multisystem Inflammatory Syndrome in Adult after COVID-19 in Korea |
title_short | The First Case of Multisystem Inflammatory Syndrome in Adult after COVID-19 in Korea |
title_sort | first case of multisystem inflammatory syndrome in adult after covid-19 in korea |
topic | Case Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8239424/ https://www.ncbi.nlm.nih.gov/pubmed/34184438 http://dx.doi.org/10.3346/jkms.2021.36.e181 |
work_keys_str_mv | AT chunghyemin thefirstcaseofmultisysteminflammatorysyndromeinadultaftercovid19inkorea AT seohyeonji thefirstcaseofmultisysteminflammatorysyndromeinadultaftercovid19inkorea AT parksunghee thefirstcaseofmultisysteminflammatorysyndromeinadultaftercovid19inkorea AT kimhaein thefirstcaseofmultisysteminflammatorysyndromeinadultaftercovid19inkorea AT jungjiwon thefirstcaseofmultisysteminflammatorysyndromeinadultaftercovid19inkorea AT chongyongpil thefirstcaseofmultisysteminflammatorysyndromeinadultaftercovid19inkorea AT kimsunghan thefirstcaseofmultisysteminflammatorysyndromeinadultaftercovid19inkorea AT leesangoh thefirstcaseofmultisysteminflammatorysyndromeinadultaftercovid19inkorea AT choisangho thefirstcaseofmultisysteminflammatorysyndromeinadultaftercovid19inkorea AT kimyangsoo thefirstcaseofmultisysteminflammatorysyndromeinadultaftercovid19inkorea AT kimminjae thefirstcaseofmultisysteminflammatorysyndromeinadultaftercovid19inkorea AT chunghyemin firstcaseofmultisysteminflammatorysyndromeinadultaftercovid19inkorea AT seohyeonji firstcaseofmultisysteminflammatorysyndromeinadultaftercovid19inkorea AT parksunghee firstcaseofmultisysteminflammatorysyndromeinadultaftercovid19inkorea AT kimhaein firstcaseofmultisysteminflammatorysyndromeinadultaftercovid19inkorea AT jungjiwon firstcaseofmultisysteminflammatorysyndromeinadultaftercovid19inkorea AT chongyongpil firstcaseofmultisysteminflammatorysyndromeinadultaftercovid19inkorea AT kimsunghan firstcaseofmultisysteminflammatorysyndromeinadultaftercovid19inkorea AT leesangoh firstcaseofmultisysteminflammatorysyndromeinadultaftercovid19inkorea AT choisangho firstcaseofmultisysteminflammatorysyndromeinadultaftercovid19inkorea AT kimyangsoo firstcaseofmultisysteminflammatorysyndromeinadultaftercovid19inkorea AT kimminjae firstcaseofmultisysteminflammatorysyndromeinadultaftercovid19inkorea |