A rare presentation of COVID-19 in a ten-year-old girl

Authors

  • Ana Cecília Pereira Department of Pediatrics, Hospital Da Senhora Da Oliveira – Guimarães
  • Sara Machado Department of Pediatrics, Hospital Da Senhora Da Oliveira – Guimarães https://orcid.org/0000-0001-8650-3706
  • Susana Oliveira Department of Pediatrics, Hospital Da Senhora Da Oliveira – Guimarães https://orcid.org/0000-0002-4571-7684
  • Liliana Macedo Department of Pediatrics, Hospital Da Senhora Da Oliveira – Guimarães https://orcid.org/0000-0002-6223-019X
  • Marília Loureiro Department of Pediatric Cardiology, Centro Materno-Infantil do Norte, Centro Hospitalar Universitário do Porto
  • Laura Marques Pediatric Infectious diseases and Immunodeficiencies Unit, Department of Pediatrics, Centro Materno-Infantil do Norte, Centro Hospitalar Universitário do Porto
  • Alzira Sarmento Pediatric Intensive Care Unit, Department of Pediatrics, Centro Materno-Infantil do Norte, Centro Hospitalar Universitário do Porto https://orcid.org/0000-0002-5397-0057
  • Raquel Oliveira Department of Pediatrics, Hospital Da Senhora Da Oliveira – Guimarães

DOI:

https://doi.org/10.25753/BirthGrowthMJ.v31.i3.22180

Keywords:

case report, COVID-19, Kawasaky Disease, multisystem inflammatory syndrome in children, SARS-CoV-2

Abstract

Multisystem inflammatory syndrome in children (MIS-C) is a severe and rare manifestation of SARS-CoV-2 infection.
A 10-year-old-girl without epidemiological context of COVID-19 presented with fever, headache, and vomiting with two days of evolution. She was hemodynamically stable. Laboratory tests showed lymphopenia, mild thrombocytopenia, and positive C-reactive protein. Reverse transcription polymerase chain reaction (RT-PCR) for SARS-CoV-2 was negative. On the third day, she presented with worsening symptoms and non-pruriginous, non-petechial rash, with also worsening inflammatory parameters on laboratory assessment. The girl was admitted, and RT-PCR for SARS-CoV-2 was repeated, with positive result. On the fourth day, the patient was hypotensive, lethargic, and showed delayed capillary refill time, swelling and erythema of the palpebrae and nose, bilateral non-purulent conjunctivitis, reddened and cracked lips, strawberry tongue, and inflammation of mucous membranes. Multiorgan dysfunction developed, and she required admission to the Intensive Care Unit.
MIS-C is a severe and potentially fatal syndro me, which clinicians should be aware of in the present pandemic setting. Close cardiac follow-up is recommended.

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Published

2022-10-19

How to Cite

1.
Pereira AC, Machado S, Oliveira S, Macedo L, Loureiro M, Marques L, Sarmento A, Oliveira R. A rare presentation of COVID-19 in a ten-year-old girl. REVNEC [Internet]. 2022Oct.19 [cited 2022Dec.7];31(3):310-6. Available from: https://revistas.rcaap.pt/nascercrescer/article/view/22180

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