Ghamry Mohamed A, Salib Korlos, Henin Shereen, Salah Rehab, Dobs Monica
Pediatrics, Al Salam Hospital, Ministry of Health, Port Said, EGY.
General Practice, El-Demerdash Hospital, Cairo, EGY.
Cureus. 2022 Aug 2;14(8):e27621. doi: 10.7759/cureus.27621. eCollection 2022 Aug.
Multisystem inflammatory syndrome in children (MIS-C) is a rare hyperinflammatory syndrome that mainly affects children after a primary infection with coronavirus disease 2019 (COVID-19), with the possibility of severe and lethal complications. We report a case of a unique presentation of MIS-C in a four-year-old boy who presented with severe agitation, muscle spasms, and two days of fever. Other findings consistent with MIS-C were revealed later, and he was managed with intravenous immunoglobulin (IVIG) and steroids. He showed a dramatic response of improvement and was discharged. This case report aimed to raise health professionals' awareness about the atypical presentations of MIS-C and the importance of early diagnosis, treatment, and follow-up MIS-C cases to avoid complications affecting children's lives.
儿童多系统炎症综合征（MIS-C）是一种罕见的高炎症综合征，主要影响初次感染2019冠状病毒病（COVID-19）后的儿童，有可能出现严重和致命的并发症。我们报告一例4岁男孩出现的MIS-C独特表现，该男孩表现为严重烦躁、肌肉痉挛和持续两天的发热。后来发现了其他与MIS-C相符的表现，他接受了静脉注射免疫球蛋白（IVIG）和类固醇治疗。他表现出显著的改善反应并出院。本病例报告旨在提高卫生专业人员对MIS-C非典型表现的认识，以及早期诊断、治疗和随访MIS-C病例以避免影响儿童生命的并发症的重要性。
