Table 1.
Case series | MIS-C cases, n | Age (median)/Gender, n | Incomplete KD, n (%) | GI involvements, n (%) | GI symptoms/signs, n (%) | Findings of GI system examination |
---|---|---|---|---|---|---|
Riphagen et al (2020) | 8 | 8 y; male: 5 | 8 (100) | 7 (88) | Diarrhea: 7 (88); vomiting: 4 (50); abdominal pain: 6 (75) | Not described in detail |
Toubiana et al (2020) | 21 | 7.9 y; male: 9 | 10 (48) | 21 (100) | Abdominal pain with vomiting and diarrhea: 20 (95); acute surgical abdomen: 2 (10) | Abdominal ultrasound: peritoneal effusions in 4, 1 had abdominal surgery for suspected appendicitis with a final diagnosis of aseptic peritonitis |
Belhadjer et al (2020) | 35 | 10 y; male: 18 | 35 (100) | 29 (83) | Abdominal pain, vomiting, or diarrhea present in 80 | Exploratory laparoscopy in 2 cases due to suspected appendicitis, with a confirmed diagnosis of mesenteric lymphadenitis |
Licciardi et al (2020) | 2 | 9.5 y, male: 2 | 0 | 2 (100) | Abdominal pain and diarrhea: 2 (100), vomiting: 1 (50) | Abdominal ultrasound: both showed mesentery lymphadenitis or enlarged mesenteric lymph nodes |
Waltuch et al (2020) | 4 | 10 y, male: 3 | 3 (75) | 4 (100) | Abdominal pain: 4 (100), diarrhea: | Abdominal ultrasound: mild ascites and inflammatory gallbladder in 1; abdominal CT: suspected appendicitis in 1 |
Dallan et al (2020) | 2 | 10 y, male: 2 | 2 (100) | 2 (100) | Abdominal pain: 2 (100); peritoneal signs: 2 (100); vomiting: 1 (50) | Abdominal CT: mesenteric lymphadenitis in 1 |
CT, computed tomography; GI, gastrointestinal; KD, Kawasaki disease; MIS-C, multisystem inflammation syndrome in children.