Halyna Pavlyshyn1, Viktoriia Slyva2, Olha Dyvonyak3, Ivanna Horishna4. 1. MD, PhD, DSc, Professor, I.Horbachevsky Ternopil National Medical University, Head of the Department of Pediatrics No. 2, 1 Maidan Voli, Ternopil, 46001, Ukraine. 2. MD, PhD, Associate Professor, I.Horbachevsky Ternopil National Medical University, Department of Pediatrics No. 2, 1 Maidan Voli, Ternopil, 46001, Ukraine. 3. MD, Municipal non-profit enterprise "Ternopil city children's municipal hospital", Head of the Infectious Diseases Department, 1a Klinichna str, 46002, Ukraine. 4. MD, PhD, Associate Professor, I.Ya.Horbachevsky Ternopil State Medical University, Department of Pediatrics No2, 1 Maidan Voli, Ternopil, 46001, Ukraine.
Abstract
INTRODUCTION: Coronavirus disease (COVID-19) has led to a global pandemic among patients of all ages around the world. A new delayed inflammatory syndrome, with potentially severe evolution, has been described in the pediatric population, a population previously considered to be less vulnerable to the severe forms of COVID-19. CASE REPORT: We describe the first clinical case of multisystem inflammatory syndrome (MIS-C) in a 7-year-old child of the Ternopil region, Ukraine. Our clinical case fulfills the Royal College of Paediatrics and Child Health definition of MIS-C temporarily associated with COVID-19 -systemic disease with long-term fever, multiorgan dysfunction, laboratory evidence of hyperinflammation, positive SARS-CoV-2 tests, and the absence of an alternative cause that would explain the clinical picture. The patient was treated according to the treatment guidelines and subsequently was discharged with the resolution of his clinical symptoms. CONCLUSIONS: This clinical case draws the attention of general practitioners and pediatricians to the importance of timely diagnosis of a rare, but potentially severe multisystem inflammatory syndrome temporarily associated with COVID-19 in children. GERMS.
INTRODUCTION: Coronavirus disease (COVID-19) has led to a global pandemic among patients of all ages around the world. A new delayed inflammatory syndrome, with potentially severe evolution, has been described in the pediatric population, a population previously considered to be less vulnerable to the severe forms of COVID-19. CASE REPORT: We describe the first clinical case of multisystem inflammatory syndrome (MIS-C) in a 7-year-old child of the Ternopil region, Ukraine. Our clinical case fulfills the Royal College of Paediatrics and Child Health definition of MIS-C temporarily associated with COVID-19 -systemic disease with long-term fever, multiorgan dysfunction, laboratory evidence of hyperinflammation, positive SARS-CoV-2 tests, and the absence of an alternative cause that would explain the clinical picture. The patient was treated according to the treatment guidelines and subsequently was discharged with the resolution of his clinical symptoms. CONCLUSIONS: This clinical case draws the attention of general practitioners and pediatricians to the importance of timely diagnosis of a rare, but potentially severe multisystem inflammatory syndrome temporarily associated with COVID-19 in children. GERMS.
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