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Multisystem inflammatory syndrome in adults: A case in a previously healthy adult
A 25‐year‐old previously healthy female presented to the emergency department (ED) with 5 days of rash, fevers, shortness of breath, and generalized weakness. She had presented to another ED 4 days previously and noted that her rash had improved, but her other symptoms were worsening. She had recove...
Autores principales: | , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
John Wiley and Sons Inc.
2021
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8523750/ https://www.ncbi.nlm.nih.gov/pubmed/34704088 http://dx.doi.org/10.1002/emp2.12426 |
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author | Motzkus, Christine A Whitaker, Nash Lommel, Jennifer Pettit, Nicholas |
author_facet | Motzkus, Christine A Whitaker, Nash Lommel, Jennifer Pettit, Nicholas |
author_sort | Motzkus, Christine A |
collection | PubMed |
description | A 25‐year‐old previously healthy female presented to the emergency department (ED) with 5 days of rash, fevers, shortness of breath, and generalized weakness. She had presented to another ED 4 days previously and noted that her rash had improved, but her other symptoms were worsening. She had recovered from COVID‐19, confirmed by positive antigen test 5 weeks prior. On ED arrival, she was afebrile and persistently tachycardic to a rate of 120 beats per minute, despite aggressive fluid resuscitation with 3L of IV crystalloid. She was found to have a troponin elevated to 0.06 ng/mL in addition to a d‐dimer elevated to 1.42 mcg/mL FEU. She was admitted to the hospital where she developed hypotension requiring vasopressor support and was admitted to the intensive care unit (ICU). A transthoracic echocardiogram revealed a newly reduced ejection fraction of 31%. She was diagnosed with multisystem inflammatory syndrome in adults (MIS‐A). The patient received intravenous immunoglobulin and methylprednisolone 60 mg Q12 hours while admitted. She was discharged on hospital day 3 with a prednisone taper and is currently doing well at her most recent follow‐up with infectious disease. |
format | Online Article Text |
id | pubmed-8523750 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2021 |
publisher | John Wiley and Sons Inc. |
record_format | MEDLINE/PubMed |
spelling | pubmed-85237502021-10-25 Multisystem inflammatory syndrome in adults: A case in a previously healthy adult Motzkus, Christine A Whitaker, Nash Lommel, Jennifer Pettit, Nicholas J Am Coll Emerg Physicians Open Infectious Disease A 25‐year‐old previously healthy female presented to the emergency department (ED) with 5 days of rash, fevers, shortness of breath, and generalized weakness. She had presented to another ED 4 days previously and noted that her rash had improved, but her other symptoms were worsening. She had recovered from COVID‐19, confirmed by positive antigen test 5 weeks prior. On ED arrival, she was afebrile and persistently tachycardic to a rate of 120 beats per minute, despite aggressive fluid resuscitation with 3L of IV crystalloid. She was found to have a troponin elevated to 0.06 ng/mL in addition to a d‐dimer elevated to 1.42 mcg/mL FEU. She was admitted to the hospital where she developed hypotension requiring vasopressor support and was admitted to the intensive care unit (ICU). A transthoracic echocardiogram revealed a newly reduced ejection fraction of 31%. She was diagnosed with multisystem inflammatory syndrome in adults (MIS‐A). The patient received intravenous immunoglobulin and methylprednisolone 60 mg Q12 hours while admitted. She was discharged on hospital day 3 with a prednisone taper and is currently doing well at her most recent follow‐up with infectious disease. John Wiley and Sons Inc. 2021-10-18 /pmc/articles/PMC8523750/ /pubmed/34704088 http://dx.doi.org/10.1002/emp2.12426 Text en © 2021 The Authors. JACEP Open published by Wiley Periodicals LLC on behalf of American College of Emergency Physicians https://creativecommons.org/licenses/by-nc-nd/4.0/This is an open access article under the terms of the http://creativecommons.org/licenses/by-nc-nd/4.0/ (https://creativecommons.org/licenses/by-nc-nd/4.0/) License, which permits use and distribution in any medium, provided the original work is properly cited, the use is non‐commercial and no modifications or adaptations are made. |
spellingShingle | Infectious Disease Motzkus, Christine A Whitaker, Nash Lommel, Jennifer Pettit, Nicholas Multisystem inflammatory syndrome in adults: A case in a previously healthy adult |
title | Multisystem inflammatory syndrome in adults: A case in a previously healthy adult |
title_full | Multisystem inflammatory syndrome in adults: A case in a previously healthy adult |
title_fullStr | Multisystem inflammatory syndrome in adults: A case in a previously healthy adult |
title_full_unstemmed | Multisystem inflammatory syndrome in adults: A case in a previously healthy adult |
title_short | Multisystem inflammatory syndrome in adults: A case in a previously healthy adult |
title_sort | multisystem inflammatory syndrome in adults: a case in a previously healthy adult |
topic | Infectious Disease |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8523750/ https://www.ncbi.nlm.nih.gov/pubmed/34704088 http://dx.doi.org/10.1002/emp2.12426 |
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