Naous Amal, Ghannoum Walaa, Abbas Aya, Darwish Hussein, Naja Zeina, Rajab Mariam
Faculty of Medicine and Surgery, Beirut Arab University, Beirut, Lebanon.
Department of Pediatrics, Faculty of Medicine at Beirut Arab University, Makassed General Hospital, Beirut, Lebanon.
Radiol Case Rep. 2024 Aug 22;19(11):5124-5127. doi: 10.1016/j.radcr.2024.07.160. eCollection 2024 Nov.
The coronavirus disease 2019 (COVID-19) pandemic that was spread worldwide since 2019 and showed a highly contagious character affecting the lifestyle of people worldwide causing symptoms that are not limited to the respiratory system only but had multi-systemic effects that may progress to severe complications that roughly affect people's health. A newly recognized SARS-CoV-2-associated syndrome called pediatric multisystem inflammatory syndrome has been described worldwide. Initially, it was reported as hyper-inflammatory shock and "Kawasaki-like" symptoms with fever and conjunctivitis, a similar syndrome is also reported in neonates and called Multisystem Inflammatory Syndrome of neonates (MIS-N). In this paper, we presented a case of a newborn baby girl born by caesarian section affected by multisystem inflammatory syndrome of neonates presenting with respiratory distress on her third day of life, then she developed bilateral pneumothorax and pneumomediastinum respectively that required intubation, which highlights that the recognition of pneumothorax and pneumomediastinum as potential presentations of immunoglobulin G (IgG) positive MIS-N in newborns remains crucial.
2019年冠状病毒病（COVID-19）大流行自2019年起在全球蔓延，具有高度传染性，影响着全世界人们的生活方式，其症状不仅局限于呼吸系统，还具有多系统效应，可能发展为严重并发症，严重影响人们的健康。一种新发现的与严重急性呼吸综合征冠状病毒2（SARS-CoV-2）相关的综合征——儿童多系统炎症综合征已在全球范围内被描述。最初，它被报告为伴有发热和结膜炎的过度炎症性休克及“川崎样”症状，在新生儿中也报告了类似综合征，称为新生儿多系统炎症综合征（MIS-N）。在本文中，我们介绍了一例剖宫产出生的女婴，她在出生第三天出现呼吸窘迫，被诊断为新生儿多系统炎症综合征，随后分别发展为双侧气胸和纵隔气肿，需要进行插管，这凸显了认识到气胸和纵隔气肿是新生儿免疫球蛋白G（IgG）阳性MIS-N的潜在表现仍然至关重要。
