1. Cardiac Dysfunction in a Child with Severe Multisystem Inflammatory Syndrome
- Author
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Paulo Henrique Manso, Laura Cardoso Brentini, Karin Barszcz, Kelly Luisa Cintra, Gabriela Marengone Altizani, and Karina Amelia Morikawa
- Subjects
Pediatrics ,medicine.medical_specialty ,Myocarditis ,business.industry ,Cardiogenic shock ,Toxic shock syndrome ,medicine.disease ,Asymptomatic ,Pathophysiology ,03 medical and health sciences ,0302 clinical medicine ,Infectious Diseases ,030225 pediatrics ,Pediatrics, Perinatology and Child Health ,medicine ,Kawasaki disease ,030212 general & internal medicine ,Respiratory system ,medicine.symptom ,business ,Prospective cohort study - Abstract
Introduction: Albeit most children infected with SARS-CoV-2 are asymptomatic or have mild respiratory symptoms, similar cases of Kawasaki disease and toxic shock syndrome increased at the end of April 2020 worldwide. Systemic inflammatory involvement characterizes these cases and is part of the spectrum of a SARS-CoV-2-related syndromes called multisystem inflammatory syndrome (MIS-C). Case Presentation: We report the case of a child with severe cardiovascular impairment due to MIS-C who developed cardiogenic shock secondary to acute myocarditis. The pathophysiology of myocardial outcomes caused by MIS-C remains unclear. Conclusions: We intend to contribute to new prospective studies on the early diagnosis, clinical management, and follow-up of patients with severe cardiovascular impairment secondary to infection with SARS-CoV-2.
- Published
- 2021
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