Singh Gurdeep, Osman Alsayed, Ryad Robert, Nguyen Phuong, Itzkowitz Raphael, Maharam Edward
Internal Medicine, AdventHealth - Orlando, Orlando, USA.
Cureus. 2022 Jul 27;14(7):e27353. doi: 10.7759/cureus.27353. eCollection 2022 Jul.
Multisystem inflammatory syndrome in adults (MIS-A) is a systemic inflammatory syndrome that presents with a heterogeneous collection of signs and symptoms in adults. Here we present a case of a 38-year-old male who met the case definition of the MIS-A four weeks after a mild, symptomatic case of coronavirus disease 2019 (COVID-19) despite receiving casirivimab-imdevimab (REGEN-COV). Given the presence of signs and symptoms consistent with MIS-A, the patient was started on intravenous immune globulin (IVIG) and IV methylprednisolone. He promptly demonstrated clinical improvement over the next several days.
成人多系统炎症综合征(MIS-A)是一种全身性炎症综合征,在成人中表现为各种不同的体征和症状。在此,我们报告一例38岁男性病例,该患者在轻度有症状的2019冠状病毒病(COVID-19)感染四周后符合MIS-A病例定义,尽管接受了卡西瑞韦单抗-英夫利昔单抗(REGEN-COV)治疗。鉴于存在与MIS-A相符的体征和症状,该患者开始接受静脉注射免疫球蛋白(IVIG)和静脉注射甲泼尼龙治疗。在接下来的几天里,他迅速表现出临床改善。