From the Department of Pediatrics, University of California San Diego School of Medicine, La Jolla, CA.
Rady Children's Hospital San Diego, San Diego, CA.
Pediatr Infect Dis J. 2021 Apr 1;40(4):e159-e161. doi: 10.1097/INF.0000000000003050.
Multisystem inflammatory syndrome in children following severe acute respiratory syndrome coronavirus 2 infection is characterized by fever, elevated inflammatory markers, and multisystem organ involvement. Presentations are variable but often include gastrointestinal symptoms. We describe 5 children with fever and gastrointestinal symptoms initially concerning for multisystem inflammatory syndrome in children who were ultimately diagnosed with bacterial enteritis, highlighting the diagnostic challenges presented by the severe acute respiratory syndrome coronavirus 2 pandemic.
儿童多系统炎症综合征继发于严重急性呼吸综合征冠状病毒 2 感染，其特征为发热、炎症标志物升高和多系统器官受累。临床表现多样，但常伴有胃肠道症状。我们描述了 5 例以发热和胃肠道症状为初始表现、最初考虑为儿童多系统炎症综合征的患儿，最终诊断为细菌性肠炎，突出了严重急性呼吸综合征冠状病毒 2 大流行带来的诊断挑战。
