Dahal Punya H, Ojbindra K C, Koirala Manisha, Ntem-Mensah Afua D
Department of Hospital Medicine, Faith Regional Health Services, Norfolk, NE, USA.
Department of Infectious Disease, Faith Regional Health Services, Norfolk, NE, USA.
J Community Hosp Intern Med Perspect. 2022 Nov 7;12(6):83-88. doi: 10.55729/2000-9666.1132. eCollection 2022.
Several cases of Multisystem Inflammatory Syndrome in Adults (MIS-A) have been reported in adults since June 2020 after COVID-19 was first reported in December 2019. It was initially reported in children as MIS-C with Kawasaki-like disease, but a similar condition has been well recognized in adults. Although Mycoplasma co-infection has been reported with COVID-19, to our knowledge, concomitant infection has not been reported together with MIS-A. We present a case of MIS-A with concomitant infection. It is unclear if concomitant Mycoplasma infection resulted in increased severity of the patient's illness or if it resulted in inciting the immune response in our patient who had recently recovered from COVID-19 infection. This case highlights the need to diagnose a patient with a typical presentation of MIS-A and any concomitant infection or illnesses.
自2019年12月首次报告新型冠状病毒肺炎(COVID-19)以来,2020年6月起已有数例成人多系统炎症综合征(MIS-A)病例报告。最初在儿童中报告为伴有川崎样疾病的MIS-C,但类似病症在成人中也已得到充分认识。虽然已有支原体合并感染COVID-19的报告,但据我们所知,尚未有支原体合并感染MIS-A的报告。我们报告一例合并支原体感染的MIS-A病例。目前尚不清楚支原体合并感染是否导致患者病情加重,或者是否引发了我们这位近期从COVID-19感染中康复的患者的免疫反应。该病例凸显了对具有典型MIS-A表现的患者以及任何合并感染或疾病进行诊断的必要性。