Case report: Exploring under the tip of the iceberg: A case series of "self-limiting" multisystem inflammatory syndrome in children.

COVID-19 SARS-COV-2 case report multisystem inflammatory syndrome in children (MIS-C) self-limiting disease

Journal

Frontiers in pediatrics
ISSN: 2296-2360
Titre abrégé: Front Pediatr
Pays: Switzerland
ID NLM: 101615492

Informations de publication

Date de publication:
2022
Historique:
received: 05 08 2022
accepted: 17 11 2022
entrez: 30 12 2022
pubmed: 31 12 2022
medline: 31 12 2022
Statut: epublish

Résumé

Multisystem inflammatory syndrome in children (MIS-C) is a serious condition triggered by SARS-COV-2 infection, characterized by persistent fever, multiorgan dysfunction, and increased inflammatory markers. It requires hospitalization and prompt treatment, with nearly 60% of the cases needing intensive care and 2% fatality rate. A wide spectrum of clinical characteristics and therapeutic approaches has been reported in MIS-C. We describe a series of four patients with MIS-C, defined according to the current case definitions, with a self-limiting course and no need for immunomodulatory treatment ("self-limiting MIS-C"). Few data about self-limiting MIS-C are available to date and no information on medium- and long-term outcome of this subset of patients has been reported. Although limited in size, our experience provides new insights into the MIS-C syndrome, highlighting an underestimated aspect of the disease that may have significant therapeutic implications.

Identifiants

pubmed: 36582511
doi: 10.3389/fped.2022.1012582
pmc: PMC9792681
doi:

Types de publication

Case Reports

Langues

eng

Pagination

1012582

Informations de copyright

© 2022 Meneghel, Martini, Balzarin, Zabadneh, Fastiggi, Tirelli and Zulian.

Déclaration de conflit d'intérêts

The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest.

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Auteurs

Alessandra Meneghel (A)

Pediatric Rheumatology Unit, Department for Women's and Children's Health, University Hospital of Padova, Padova, Italy.

Giorgia Martini (G)

Pediatric Rheumatology Unit, Department for Women's and Children's Health, University Hospital of Padova, Padova, Italy.

Marta Balzarin (M)

Pediatric Unit, "San Bortolo" Hospital, Vicenza, Italy.

Nadia Zabadneh (N)

Pediatric Unit, "Ospedali Riuniti Padova Sud" Hospital, Schiavonia, Italy.

Michele Fastiggi (M)

Pediatric Rheumatology Unit, Department for Women's and Children's Health, University Hospital of Padova, Padova, Italy.

Francesca Tirelli (F)

Pediatric Rheumatology Unit, Department for Women's and Children's Health, University Hospital of Padova, Padova, Italy.

Francesco Zulian (F)

Pediatric Rheumatology Unit, Department for Women's and Children's Health, University Hospital of Padova, Padova, Italy.

Classifications MeSH