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. 2021 Nov 26;8(11):003025.
doi: 10.12890/2021_003025. eCollection 2021.

SARS-CoV-2-related Multisystem Inflammatory Syndrome in Adults

António Martins  1   2 , Sílvia Policarpo  1   2 , André Silva-Pinto  1   2   3 , Ana Sofia Santos  1   2 , Paulo Figueiredo  1   2 , António Sarmento  1   2   3 , Lurdes Santos  1   2   3
Affiliations

SARS-CoV-2-related Multisystem Inflammatory Syndrome in Adults

António Martins et al. Eur J Case Rep Intern Med. .

Abstract

Adults infected with SARS-CoV-2 may develop a multisystem inflammatory syndrome (MIS-A) characterized by elevated inflammatory markers and multisystem organ involvement. We report the case of a patient who presented with fever and vomiting at hospital admission. He tested positive for SARS-CoV-2 infection and blood tests showed elevated inflammatory markers. The patient developed acute cardiac dysfunction and shock in less than 24 hours and the echocardiogram revealed an LVEF of 30%. He was discharged 3 weeks later fully recovered. MIS-A should be considered if a compatible syndrome is observed in patients with evidence of SARS-CoV-2 infection by PCR test or serology.

Learning points: Multisystem inflammatory syndrome should be considered in young adults presenting with shock and elevated inflammatory markers.Multisystem inflammatory syndrome may be highly responsive to parenteral steroids.

Keywords: SARS-CoV-2; adult patients; multisystem inflammatory syndrome.

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Conflict of interest statement

Conflicts of Interests: The authors declare there are no competing interests.

Figures

Figure 1
Figure 1
Cervical CT: Left enlarged cervical lymph nodes (axial view)
Figure 2
Figure 2
Cervical CT: Right enlarged cervical lymph nodes (axial view)
Figure 3
Figure 3
Thoracic CT: No lung or pleural disease was observed (axial view)
See this image and copyright information in PMC

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