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Inicio Revista Española de Anestesiología y Reanimación (English Edition) COVID-19 associated Kawasaki-like multisystem inflammatory syndrome in an adult
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Vol. 69. Issue 1.
Pages 43-47 (January 2022)
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Vol. 69. Issue 1.
Pages 43-47 (January 2022)
Case report
COVID-19 associated Kawasaki-like multisystem inflammatory syndrome in an adult
Síndrome inflamatorio multisistémico de tipo Kawasaki asociado a COVID-19 en un adulto
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Y. Elouardi
Corresponding author
y.elouardi.rea@gmail.com

Corresponding author.
, H. Rebahi, Y. Zarrouki, A. Ziadi, S. Younous, M.A. Samkaoui
Departamento de Anestesiología y Reanimación, Facultad de Medicina y Farmacia de Marrakech, Universidad Cadi Ayyad, Marrakech, Morocco
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Table 1. Laboratory parameters, results, and normal ranges.
Abstract

Recently, few reports have described a serious condition linked to SARS-CoV-2 that mimics Kawasaki disease called multisystem inflammatory syndrome, especially in children (MIS-C) and young adults. In this work, we report on a severe form of MIS in a young female adult previously infected by SARS-CoV-2. She was treated by plasmapheresis with albumin and steroids, however outcome was fatal. We discuss the pathogenesis of this rare and life threatening entity and suggest some therapeutic regimen. This syndrome should not be misdiagnosed with an infectious or a drug induced cutaneous rash in the current context of COVID-19 pandemic.

Keywords:
Adult
COVID-19
Kawasaki disease
Multisystem inflammatory syndrome
Resumen

Pocos informes han descrito recientemente una situación grave asociada a SARS-CoV-2 que remede la enfermedad de Kawasaki denominada síndrome inflamatorio multisistémico, especialmente en niños (MIS-C) y adultos jóvenes. En este trabajo, reportamos una forma grave de MIS en un adulto joven previamente infectado por SARS-CoV-2. La paciente fue tratada mediante plasmaféresis con albúmina y esteroides, pero sin embargo el resultado fue fatal. Tratamos aquí la patogenia de esta entidad rara y potencialmente mortal, y sugerimos algún régimen terapéutico. No debería confundirse este síndrome con una erupción cutánea infecciosa o causada por un fármaco en el contexto actual de la pandemia por COVID-19.

Palabras clave:
Adulto
COVID-19
Enfermedad de Kawasaki
Síndrome inflamatorio multisistémico

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