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Abstract
CASE SERIES OF CHILDREN WITH MULTISYSTEM INFLAMMATORY SYNDROME ASSOCIATED WITH CORONARY ARTERY DILATATION
Dr. Adarsh E., Dr. Sahaya Nirmala S. and Dr. Badam Prashanth*
ABSTRACT
Since the beginning of the severe SARS-CoV-2 pandemic, an increasing number of countries reported cases of a systemic hyperinflammatory condition defined as multi-system inflammatory syndrome in children (MIS-C). The clinical features of MIS-C can be an overlap of Kawasaki Disease (KD). We report on a cohort of 3 cases of children with SARS-coV2 related MIS-C presenting with clinical features compatible with Incomplete KD to the pediatric department over a period of 11 months from june 2021 to april 2022. In all the 3 cases, investigations showed persistently elevated inflammatory markers with leukocytosis and reactive thrombocytosis, serology showed positive for SARS-coV2 infection, 2d Echo showed coronary artery dilatation with Z score >+2. One case required ICU admission which was treated with IVIG, steroids and aspirin. One among the three cases was non responsive to treatment with steroids and aspirin needing increase in the dosages.
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