SBMU Journals
  • New Submission
  • Register
  • Login
  • English
    • فارسی

Iranian Journal of Emergency Medicine

  • Home
  • About
    • About the Journal
    • Editorial Team
    • Statistics
    • Contact
  • Issues
    • Current
    • Archives
  • Announcements
  • Indexing and Abstracting
  • For Authors
    • New Submission
    • Article Withdrawal
    • Publication Fee
    • Author Guidelines
  • Ethics
    • Ethical Requirements
    • Plagiarism Policy
    • Authorship Conflicts
    • Privacy Statement
    • Malpractice Statements
    • Copyright Notice
    • Intellectual Properties
    • Privacy Statement
    • Artificial Intelligence & Authorship
Advanced Search
  1. Home
  2. Archives
  3. Vol. 10 No. 1 (2023): Continuous volume
  4. Case Report

Vol. 10 No. 1 (2023)

November 2022

COVID-19 associated Kawasaki-like multisystem inflammatory syndrome in an adult female with oral, ophthalmic and cardiac manifestation, a case report

  • Talayeh Mirkarimi
  • Mohammad Salek

Iranian Journal of Emergency Medicine, Vol. 10 No. 1 (2023), 30 November 2022 , Page e16
https://doi.org/10.22037/ijem.v10i1.41658 Published: 2023-06-08

  • View Article
  • Download
  • Cite
  • References
  • Statastics
  • Share

Abstract

Kawasaki disease is an acute febrile disease with the vasculitis of small and medium vessels that mainly affects children under the age of five, usually occurring after a viral respiratory disease. During the coronavirus disease-19 (COVID-19) pandemic, a significant increase was reported in the number of children with symptoms similar to Kawasaki disease, which is known as a multi-system inflammatory syndrome in children (MIS-C). A Kawasaki-like disease is rare in adults, especially in the context of COVID-19. We hereby present the case of A 41 year old female patient presented with complaints of bleeding from the gums and red and watery eyes, high fever, sore throat, weakness, and lethargy. She mentioned a recent contact with a COVID-19 patient. Covid-19 was confirmed by a positive reverse transcription polymerase chain reaction (RT-PCR) test. Other lab tests and clinical manifestations revealed inflammatory phenomena that fully complied with multi-system inflammatory syndrome in adults (MIS-A) criteria. The patient was treated with a possible diagnosis of MIS-A in the context of COVID-19 and was discharged in good general condition. COVID-19 rarely presents in adults without clear respiratory symptoms and in the form of multisystem inflammatory syndrome (MIS-A). Due to the possibility of irreversible complications, MIS-A requires special attention and early diagnosis and treatment.

Keywords:
  • multisystem inflammatory syndrome
  • MIS-A, adult
  • COVID-19
  • Kawasaki disease
  • pdf

How to Cite

Mirkarimi, T., & Salek, M. (2023). COVID-19 associated Kawasaki-like multisystem inflammatory syndrome in an adult female with oral, ophthalmic and cardiac manifestation, a case report . Iranian Journal of Emergency Medicine, 10(1), e16. https://doi.org/10.22037/ijem.v10i1.41658
  • ACM
  • ACS
  • APA
  • ABNT
  • Chicago
  • Harvard
  • IEEE
  • MLA
  • Turabian
  • Vancouver
  • Endnote/Zotero/Mendeley (RIS)
  • BibTeX

References

Elouardi Y, Rebahi H, Zarrouki Y, Ziadi A, Younous S, Samkaoui M. COVID-19 associated Kawasaki-like multisystem inflammatory syndrome in an adult. Revista Española de Anestesiología y Reanimación (English Edition). 2022;69(1):43-7.

Pouletty M, Borocco C, Ouldali N, Caseris M, Basmaci R, Lachaume N, et al. Paediatric multisystem inflammatory syndrome temporally associated with SARS-CoV-2 mimicking Kawasaki disease (Kawa-COVID-19): a multicentre cohort. Annals of the rheumatic diseases. 2020;79(8):999-1006.

Alizargar J. The novel coronavirus (COVID-19) and the risk of Kawasaki disease in children. Journal of the Formosan Medical Association. 2020;119(11):1713.

Shaigany S, Gnirke M, Guttmann A, Chong H, Meehan S, Raabe V, et al. An adult with Kawasaki-like multisystem inflammatory syndrome associated with COVID-19. The Lancet. 2020;396(10246):e8-e10.

Prevention CfDCa. Multisystem Inflammatory Syndrome in Adults (MIS-A) Case Definition and Information for Healthcare Providers [Available from: https://www.cdc.gov/mis/mis-a/hcp.html.

Behzadi F, Ulloa NA, Danckers M. Multisystem inflammatory syndrome in adults: A case report and review of the literature. Journal of Medical Case Reports. 2022;16(1):1-20.

Patel P, DeCuir J, Abrams J, Campbell AP, Godfred-Cato S, Belay ED. Clinical characteristics of multisystem inflammatory syndrome in adults: a systematic review. JAMA network open. 2021;4(9):e2126456-e.

Worku D. Multisystem Inflammatory Syndrome in Adults (MIS-A) and SARS-CoV2: An Evolving Relationship. BioMed. 2023;3(1):195-201.

Hennon TR, Penque MD, Abdul-Aziz R, Alibrahim OS, McGreevy MB, Prout AJ, et al. COVID-19 associated multisystem inflammatory syndrome in children (MIS-C) guidelines; a Western New York approach. Elsevier; 2020. p. 101232.

McArdle AJ, Cunnington AJ, Levin M. Therapy for Multisystem Inflammatory Syndrome in Children. Reply. The New England journal of medicine. 2021.

Sokolovsky S, Soni P, Hoffman T, Kahn P, Scheers-Masters J. COVID-19 associated Kawasaki-like multisystem inflammatory disease in an adult. The American journal of emergency medicine. 2021;39:253. e1-. e2.

Hookham L, Fisher C, Manson JJ, Morgan M, O'Hara G, Riley P, et al. Understanding the diagnosis and management of multisystem inflammatory syndrome in adults (MIS-A) in the UK: results of a national Delphi process. Clinical Medicine. 2022;22(3):266.

  • Abstract Viewed: 163 times
  • pdf Downloaded: 134 times

Download Statastics

  • Linkedin
  • Twitter
  • Facebook
  • Google Plus
  • Telegram

Make a Submission

Make a Submission

Browse

Developed By

Open Journal Systems

Current Issue

  • Atom logo
  • RSS2 logo
  • RSS1 logo

Information

  • For Readers
  • For Authors
  • For Librarians
  • Home
  • Archives
  • Submissions
  • About the Journal
  • Editorial Team
  • Contact

This journal is distributed under the terms of CC BY-NC 3.0. Design and publishing by SBMU journals. All credits and honors to PKP for their OJS.

Sitemap | ISSN-ONLINE: 2383-3645

Support Contact: iranjem@sbmu.ac.ir

Powered by OJSPlus