• Clinical case of SARS-CoV-2-associated multisystem inflammatory syndrome
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Clinical case of SARS-CoV-2-associated multisystem inflammatory syndrome

Modern Pediatrics. Ukraine. (2021). 7(119): 51-54. doi 10.15574/SP.2021.119.51
Pohorila Ye. Ye.
Kyiv Regional Children's Hospital No. 2, Bila Tserkva, Ukraine

For citation: Pohorila YeYe. (2021). Clinical case of SARS-CoV-2-associated multisystem inflammatory syndrome. Modern Pediatrics. Ukraine. 7(119): 51-54. doi 10.15574/SP.2021.119.51.
Article received: Aug 03, 2021. Accepted for publication: Nov 09, 2021.

The clinical course, features of diagnostic examinations and difficulties in verification of the new nosology of multisystem inflammatory syndrome associated with SARS-CoV-2 in 15-year-old girls are described. The girl was taken to the Kyiv Regional Children's Hospital No. 2 with complaints of fever, intoxication syndrome, general weakness, dizziness, vertigo, lack of urine during the day. The child was examined by a consilium of doctors, examined in the laboratory and instrumentally, after a carefully collected epidemiological history revealed possible contact with a patient with coronavirus infection at the place of study and identified a probable case of multisystem inflammatory syndrome associated with SARS-CoV-2.
According to the results of our own observations during the pandemic, this nosology was found in patients who relapsed into coronavirus infection in clinical or subclinical form and for the period of hospitalization had a clinical symptom complex of Kawasaki with similar symptoms. This disease is new today, has a variety of clinical manifestations and pathological features that are a problem for clinicians. After all, at present there are no unified protocols for the diagnosis and treatment of MIS-C (multisystem inflammatory syndrome) and each doctor relies on their own experience and previously described cases.
This case of multisystem inflammatory syndrome will help practicing clinicians in the early stages to diagnose the disease and provide qualified care to patients.
The research was carried out in accordance with the principles of the Helsinki declaration. The study protocol was approved by the Local ethics committee of all participating institution. The informed consent of the patient was obtained for conducting the studies.
No conflict of interest was declared by the author.
Key words: multisystem used for setting fire syndrome, 15-year-old girl, kawasaky-like symptoms, SARS-CoV-2, intravenous immunoprotein, acetophene, glucocorticosteroids.

REFERENСES

1. Berezhnyi VV, Marushko TV, Marushko YuV. (2013). Klinichna revmatolohiia dytiachoho viku. Kyiv: 241.

2. Oshlianska OA, Okhotnikova OM, Zakharchuk OV, Rusak SO. (2021). Multysystemnyi zapalnyi syndrom, asotsiiovanyi z infektsiieiu SARS-COV-2, u ditei: nova khvoroba chy syndrom? (na prykladi klinichnoho vypadku). Ukrainskyi revmatolohichnyi zhurnal. 85: 3.