The First Case of Multisystem Inflammatory Syndrome in Adult after COVID-19 in Koreaopen access
- Authors
- Chung, Hyemin; Seo, Hyeonji; Park, Sunghee; Kim, Haein; Jung, Jiwon; Chong, Yong Pil; Kim, Sung-Han; Lee, Sang-Oh; Choi, Sang-Ho; Kim, Yang Soo; Kim, Min Jae
- Issue Date
- Jun-2021
- Publisher
- KOREAN ACAD MEDICAL SCIENCES
- Keywords
- COVID-19; Multisystem Inflammatory Syndrome; Adult
- Citation
- JOURNAL OF KOREAN MEDICAL SCIENCE, v.36, no.25
- Journal Title
- JOURNAL OF KOREAN MEDICAL SCIENCE
- Volume
- 36
- Number
- 25
- URI
- https://scholarworks.bwise.kr/cau/handle/2019.sw.cau/73510
- DOI
- 10.3346/jkms.2021.36.e181
- ISSN
- 1011-8934
1598-6357
- Abstract
- Multisystem inflammatory disease in children is a Kawasaki disease like illness occurring after severe acute respiratory syndrome coronavirus 2 infection in children. As the pandemic progresses, similar syndromes were also reported in adult with a decreased incidence. Multisystem inflammatory syndrome in adults (MIS-A) can be characterized with shock, heart failure, and gastrointestinal symptoms with elevated inflammatory markers after coronavirus disease 2019 (COVID-19) infection. Herein, we describe the first case of MIS-A in South Korea. A 38-year-old man presented to our hospital with a 5-day history of abdominal pain and fever. He had been treated with antibiotics for 5 days at the previous hospital, but symptoms had worsened and he had developed orthopnea on the day of presentation. He suffered COVID-19 six weeks ago. Laboratory data revealed elevated white blood cell counts with neutrophil dominance, C-reactive protein, and B-type natriuretic peptide. Chest X-ray showed normal lung parenchyme and echocardiography showed severe biventricular failure with normal chamber size. We diagnosed him as MIS-A and treated with intravenous immunoglobulin and steroid.
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