From the Instituto de Pediatría, Hospital Zambrano Hellion, TecSalud.
Hospital Universitario "Dr. José Eleuterio González," Monterrey, Mexico.
Pediatr Infect Dis J. 2021 Mar 1;40(3):e113-e115. doi: 10.1097/INF.0000000000003022.
Multisystem inflammatory syndrome in children (MIS-C) is an emerging entity during the coronavirus disease 2019 pandemic. Medium- and large-vessel changes are present in MIS-C; however, microcirculatory impairment has not been documented. We report a case of MIS-C in a toddler that presented with persistent fever, gastrointestinal symptoms and rash. Nailfold videocapillaroscopy was abnormal, suggesting microcirculatory disease in the setting of MIS-C.
儿童多系统炎症综合征(MIS-C)是 2019 年冠状病毒病大流行期间出现的一种新病症。MIS-C 存在中等和大血管变化,但尚未记录到微循环损伤。我们报告了一例幼儿 MIS-C 病例,表现为持续发热、胃肠道症状和皮疹。甲襞微血管镜检查异常,提示在 MIS-C 背景下存在微循环疾病。