MIS-C vs Incomplete Kawasaki's Disease in a 12-year-old Female: A Case Study.

Kahlen R Morris, Allison M Hemmer, Meaghan E Sievers, Mitchell B VanKalsbeek, Peter J Reynen
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Abstract

Multisystem inflammatory syndrome in children (MIS-C) is a rare but severe post-infectious complication of SARSCoV- 2 that seems to occur most frequently two to six weeks after infection. MIS-C can present very similarly to Kawasaki's disease (KD) with symptoms such as a skin rash in addition to a prolonged fever. Here we present a case of a 12-year-old African American/Black female with incomplete KD presenting similarly to MIS-C. The patient presented with prolonged fever, eventually worsening to shock and cardiac dysfunction. We further review the similarities and differences between incomplete KD and MIS-C. Due to their similarities, it is important to keep these diagnoses on the differential when a child presents with a prolonged fever.

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一名 12 岁女性的 MIS-C 与不完全川崎病:病例研究
儿童多系统炎症综合征(MIS-C)是一种罕见但严重的 SARSCoV- 2 感染后并发症,似乎最常在感染后 2 到 6 周发生。MIS-C的表现与川崎病(KD)非常相似,除了长期发热外,还会出现皮疹等症状。在这里,我们介绍了一例 12 岁的非裔美国人/黑人女性患者,她患有与 MIS-C 相似的不完全 KD。患者表现为长期发热,最终恶化为休克和心功能不全。我们进一步回顾了不完全性 KD 和 MIS-C 之间的异同。由于它们的相似之处,当儿童出现长期发热时,将这些诊断列入鉴别诊断非常重要。
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