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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...

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Autores principales: 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
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
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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.
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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
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