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  • Multisystem inflammatory syndrome in children associated with SARS-CoV-2: differential diagnosis in real clinical practice

    Редактор | 2022, Clinical case, Practical medicine part 20 №5. 2022 | 11 октября, 2022

    N.V. SKRIPCHENKO1, 2, A.A. VILNITS1, 2, M.K. BEKHTEREVA1, 2, E.YU. SKRIPCHENKO1, 2, A.I. KONEV1, 2, K.V. MARKOVA1, YU.E. KONSTANTINOVA1

     1Pediatric Research and Clinical Center for Infectious Diseases, Saint Petersburg

    2Saint Petersburg State Pediatric Medical University, Saint Petersburg

    Contact details:

    Skripchenko N.V. — MD, Professor, Honored Researcher of the Russian Federation, Deputy Director for Research, Head of the Department of Infectious Diseases

    Address: 9 Professor Popov St., Saint Petersburg, Russian Federation, 197022, tel.: +7 (812) 234-10-38, e-mail: snv@niidi.ru

    Multisystem inflammatory syndrome in children associated with SARS-CoV-2 (MIS-C), which has signs of Kawasaki disease, can occur under the guise of various diseases and is characterized by a variety of clinical symptoms, severe damage to organs and systems. The polymorphism of the clinical picture of the disease causes difficulties in making a diagnosis, requires an integrated approach in the diagnosis and treatment of such patients, as well as long-term dynamic monitoring by specialized doctors (neurologist, cardiologist, hematologist, etc.). The article presents two clinical cases of children with MIS-C. The patients were hospitalized with suspected neuroinfection (meningitis?), however, a correctly collected medical history and clinical and laboratory data that met the WHO criteria made it possible to make the diagnosis and conduct adequate complex therapy.

    Key words: multisystem inflammatory syndrome in children associated with SARS-CoV-2, clinical case, neuroinfections, meningitis, COVID-19.

    REFERENCES

    1. World Health Organization. Multisystem inflammatory syndrome in children and adolescents temporally related to COVID-19. Scientific Briefyu, 15 May, 2020, available at: https://www.who.int/news-room/commentaries/detail/multisystem-inflammatory-syndrome-in-children-and-adolescents-with-covid-19
    2. Dufort E.M., Koumans E.H., Chow E.J., Rosenthal E.M et al. Multisystem inflammatory syndrome in children in New York State. New England Journal of Medicine, 2020, vol. 383 (4), pp. 347–358. DOI: 10.1056/NEJMoa2021756
    3. Henderson L.A. et al. American College of Rheumatology Clinical Guidance for Multisystem Inflammatory Syndrome in Children Associated With SARS–CoV‐2 and Hyper inflammation in Pediatric COVID‐19: Version 1. Arthritis & Rheumatology, 2020, pp. 1791–1805, available at: https://onlinelibrary.wiley.com/doi/10.1002/art.41454
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    6. Centers for Disease Control and Prevention. Information for Healthcare Providers about Multisystem Inflammatory Syndrome in Children (MISC). Last Updated 20 May 2021, available at: https://www.cdc.gov/mis/misc/hcp/index.html?CDC_AA_refVal=https%3A%2F%2Fwww.cdc.gov%2Fmis%2Fhcp%2Findex.html
    7. Harwood R., Allin B., Jones C.E., Whittaker E. et al. A national consensus management pathway for paediatric inflammatory multisystem syndrome temporally associated with COVID-19 (PIMS-TS): results of a national Delphi process. The Lancet Child & Adolescent Health, 2021, vol. 5 (2), pp. 133–141. DOI: 10.1016/S2352-4642(20)30304-7
    8. Lobzin Yu.V., Uskov A.N., Skripchenko N.V., Vil’nits A.A. et al. COVID-19-associated pediatric multisystem inflammatory syndrome. Meditsina ekstremal’nykh situatsiy, 2021, vol. 23, no. 2, pp. 13–19 (in Russ.).
    9. Kostik M.M., Bregel L.V., Avrusin L.S., Dondurei E.A. et al. Distinguishing between multisystem inflammatory syndrome, associated with COVID-19 in children and the Kawasaki disease: development of preliminary criteria based on the data of the retrospective Multicenter Cohort Study. Frontiers in Pediatrics, 2021, vol. 9. DOI: 10.3389/fped.2021.787353
    10. Ovsyannikov D.Yu., Novikova Yu.Yu., Abramov A.E., Andzhel’ A.E. et al. Pediatric multisystem inflammatory syndrome associated with novel coronavirus infection (COVID-19): clinical and morphological comparisons. Pediatriya, 2020, vol. 99, no. 6, pp. 119–126 (in Russ.).
    11. Dolhnikoff M., Ferranti J.F. et al. SARS-CoV-2 in cardiac issue of a child with COVID-19 — related multisystem inflammatory syndrome. The Lancet Child & Adolescent Health, 2020, vol. 4 (10), pp. 790–794. DOI: 10.1016/S2352-4642(20)30257-1

    Метки: 2022, A.I. KONEV, Clinical case, COVID-19, K.V. MARKOVA, M.K. BEKHTEREVA, meningitis, multisystem inflammatory syndrome in children associated with SARS-CoV-2, N.V. SKRIPCHENKO, neuroinfections, Practical medicine part 20 №5. 2022, YU.E. KONSTANTINOVA, А.А. VILNITS, Е.Yu. SKRIPCHENKO

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