Author:
Sriboonyong Tidarat,Katanyuwong Poomiporn,Vaewpanich Jarin
Abstract
Abstract
Background
Multisystem inflammatory syndrome in children (MIS-C) is a relatively new and rare complication of COVID-19. This complication seems to develop after the infection rather than during the acute phase of COVID-19. This report aims to describe a case of MIS-C in an 8-year-old Thai boy who presented with unilateral lung consolidation. Unilateral whiteout lung is not a common pediatric chest radiograph finding in MIS-C, but this is attributed to severe acute respiratory failure.
Case presentation
An 8-year-old boy presented with persistent fever for seven days, right cervical lymphadenopathy, and dyspnea for 12 h. The clinical and biochemical findings were compatible with MIS-C. Radiographic features included total opacity of the right lung and CT chest found consolidation and ground-glass opacities of the right lung. He was treated with intravenous immunoglobulin and methylprednisolone, and he dramatically responded to the treatment. He was discharged home in good condition after 8 days of treatment.
Conclusion
Unilateral whiteout lung is not a common pediatric chest radiographic finding in MIS-C, but when it is encountered, a timely and accurate diagnosis is required to avoid delays and incorrect treatment. We describe a pediatric patient with unilateral lung consolidation from the inflammatory process.
Publisher
Springer Science and Business Media LLC
Subject
Pulmonary and Respiratory Medicine
Reference17 articles.
1. Levy N, Koppel JH, Kaplan O, Yechiam H, Shahar-Nissan K, Cohen NK, et al. Severity and incidence of Multisystem Inflammatory Syndrome in Children during 3 SARS-CoV-2 pandemic waves in Israel. JAMA. 2022;327(24):2452–4.
2. Payne AB, Gilani Z, Godfred-Cato S, Belay ED, Feldstein LR, Patel MM, et al. Incidence of Multisystem Inflammatory Syndrome in Children among US Persons infected with SARS-CoV-2. JAMA Netw Open. 2021;4(6):e2116420–e.
3. Kaushik A, Gupta S, Sood M, Sharma S, Verma S. A systematic review of Multisystem Inflammatory Syndrome in Children Associated with SARS-CoV-2 infection. Pediatr Infect Dis J. 2020;39(11):e340–e6.
4. Winant AJ, Blumfield E, Liszewski MC, Kurian J, Foust AM, Lee EY. Thoracic imaging findings of Multisystem Inflammatory Syndrome in Children Associated with COVID-19: what radiologists need to know now. Radiol Cardiothorac Imaging. 2020;2(4):e200346.
5. Centers for Disease Control and Prevention. Emergency preparedness and response: health alert network. Published May 14., 2020. emergency.cdc.gov/han/2020/han00432.asp (accessed August 5, 2020).