12 October 2021: Articles
A 7-Year-Old Boy and a 14-Year-Old Girl Initially Diagnosed with Toxic Shock Syndrome and Tested Positive for SARS-CoV-2 Infection, Supporting a Diagnosis of Multisystem Inflammatory Syndrome in Children (MIS-C)
Unusual clinical course, Challenging differential diagnosis, Management of emergency care
Salvatore Giordano A , Maria Concetta Failla A , Maria Grazia Li Cavoli A , Domenico Romano B , Veronica Vanella B , Chiara Caruso B , Ilenia Chillura B , Maria Cristina Maggio A*DOI: 10.12659/AJCR.931570
Am J Case Rep 2021; 22:e931570
Table 3. Case 2. Clinical findings in a 14-year-old girl with multisystem inflammatory syndrome in children (MIS-C) associated with SARS-CoV-2 infection.
| Data | Day 1 | Day 4 | Day 5 | Day 6 | Day 8 | Day 16 |
|---|---|---|---|---|---|---|
| Treatment | Admission | mPDN+IVIG +enoxaparin +furosemide +albumin | Discharge | |||
| Weight (kg) | 83.8 | 84 | 85 | 89 | 88 | 85 |
| Temperature | 40°C | 38.7°C | 37.8°C | 36.6°C | 36.1°C | 36.2°C |
| Heart rate | 120 | 90 | 140 | 90 | 90 | |
| Respiratory rate | 45 | 20 | 30 | |||
| Sat O2 | 99 | 97 | 97 | 98 | 99 | 100 |
| Diuresis | Oliguria | Oliguria | Normal diuresis | |||
| BP (mmHg) | 104/55 | 84/60 | 120/60 | 112/60 | 120/70 | |
| mPDN – methylprednisolone; O2 – oxygen; Sat O2 – oxygen saturation; BP – blood pressure. | ||||||