American Journal of Medical Case Reports. 2022, 10(3), 56-58
DOI: 10.12691/AJMCR-10-3-4
Corona Lungs and Strawberry Tongues
Sabina Kumar1, , Umeh Chukwuemeka1, John Carvalho1, Laura Tuscher2, Sobiga Ranchithan3, Rakesh Gupta1, Chawki Harfouch1, Pranav Barve1 and Sumanta Chaudhuri1
1Department of Internal Medicine, Hemet Global Medical Center, Hemet, California, USA
2Divison of Medicine, St. George’s University, School of Medicine, West Indies, Grenada
3Division of Medicine, American University of Antigua, Osbourn, Antigua & Barbuda
Pub. Date: March 11, 2022
Cite this paper
Sabina Kumar, Umeh Chukwuemeka, John Carvalho, Laura Tuscher, Sobiga Ranchithan, Rakesh Gupta, Chawki Harfouch, Pranav Barve and Sumanta Chaudhuri. Corona Lungs and Strawberry Tongues.
American Journal of Medical Case Reports. 2022; 10(3):56-58. doi: 10.12691/AJMCR-10-3-4
Abstract
Multisystem inflammatory syndrome in children (MIS-C) is one of several severe complications of COVID-19 seen in children. The United States Center for Disease Control diagnostic guidelines for MIS-C include age <21 years, 24-hour history of fever ≥38.0ºC, severe illness necessitating hospitalization, two or more organ system involvement, laboratory evidence of inflammation, laboratory or epidemiologic evidence of SARS-CoV-2, and a lack of alternative diagnosis. This case report focuses on one patient who met six out of the seven cardinal features of MIS-C but fell outside the average age range. Unfortunately, the patient died from complications of COVID-19. Since our patient had multiple risk factors, including obesity and Hispanic ethnicity the pathogenesis of the disease occurring in our patient was likely identical to that which occurs in MIS-C. Due to a significant chance of mortality in patients with MIS-C and COVID-19, it is important to consider this diagnosis in older adolescents and young adults. This patient’s unfortunate outcome urges prompt greater suspicion for this rare and life-threatening complication, even though this patient is older than the typical MIS-C patient.
Keywords
COVID-19, MIS-C, SARS-CoV-2, Multisystem Inflammatory Syndrome in Children
Copyright
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