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A Fatal Case of Multisystem Inflammatory Syndrome in Adult (MIS-A) in a Post Covid-19 Patient


Affiliations
1 3rd year DNB resident, Department of Internal Medicine, Max super specialty hospital, Vaishali, Ghaziabad., India
2 Senior consultant, Department of Internal Medicine, Max super specialty hospital, Vaishali, Ghaziabad., India
3 Senior consultant, Department of Internal Medicine, Max super specialty hospital, Vaishali,Ghaziabad., India
4 1st year resident, Department of Internal Medicine, Max Super Specialty Hospital, Gha, India
 

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Multisystem Inflammatory Syndrome (MIS-A) is a hyperinflammatory condition occurring in adults with age >21 years. It is a rarely reported, potentially lethal condition observed in COVID-19 infections. We report a case of a 31-year-old young male with a history of COVID-19 infection one month prior, who presented with fever, abdominal pain, nausea and recurrent vomiting for 3 days and was eventually diagnosed with MIS-A. In adults presenting with raised inflammatory markers and multisystem involvement in a post COVID-19 infection, a high index of suspicion is required for diagnosis and prompt initiation of treatment with corticosteroids and IVIG is required for improved outcome.


Keywords

COVID-19, fever, inflammatory markers, MIS-A, acalculous cholecystitis
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PDF Views: 86




  • A Fatal Case of Multisystem Inflammatory Syndrome in Adult (MIS-A) in a Post Covid-19 Patient

Abstract Views: 105  |  PDF Views: 86

Authors

Saurabh Puri
3rd year DNB resident, Department of Internal Medicine, Max super specialty hospital, Vaishali, Ghaziabad., India
Ashok Kumar Grover
Senior consultant, Department of Internal Medicine, Max super specialty hospital, Vaishali, Ghaziabad., India
Pankaj Nand Choudhary
Senior consultant, Department of Internal Medicine, Max super specialty hospital, Vaishali,Ghaziabad., India
Shashwat Saurabh
1st year resident, Department of Internal Medicine, Max Super Specialty Hospital, Gha, India
Arjun Prem Gupta
3rd year DNB resident, Department of Internal Medicine, Max super specialty hospital, Vaishali, Ghaziabad., India

Abstract


Multisystem Inflammatory Syndrome (MIS-A) is a hyperinflammatory condition occurring in adults with age >21 years. It is a rarely reported, potentially lethal condition observed in COVID-19 infections. We report a case of a 31-year-old young male with a history of COVID-19 infection one month prior, who presented with fever, abdominal pain, nausea and recurrent vomiting for 3 days and was eventually diagnosed with MIS-A. In adults presenting with raised inflammatory markers and multisystem involvement in a post COVID-19 infection, a high index of suspicion is required for diagnosis and prompt initiation of treatment with corticosteroids and IVIG is required for improved outcome.


Keywords


COVID-19, fever, inflammatory markers, MIS-A, acalculous cholecystitis

References