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. 2022 Apr 9;68(3):fmac025. doi: 10.1093/tropej/fmac025

Table 1.

Demographics, clinical features, treatment, key initial laboratory and radiographic findings, and outcomes in patients with multisystem inflammatory syndrome in children (MIS-C)

Patient 1 Patient 2 Patient 3 Patient 4 Patient 5 Patient 6 Patient 7 Patient 8 Patient 9 Patient 10 Patient Patient Patient
(F) (M) (M) (M) (M) (F) (F) (M) (M) (F) 11 (M) 12 (M) 13 (M)
Age (years) 14.17 16.5 1.17 15.11 0.92 12.5 3.01 0.33 5.58 0.75 17.75 7.58 11.33
Presenting symptoms Fever, abdominal pain, nausea, vomiting Fever, lymphadenopathy, headache, diarrhea, nausea, vomiting, rash, pedal edema Fever, diarrhea, anorexia, dyspnea, pedal edema Fever, dyspnea Fever, diarrhea, dyspnea, cough Fever, cough, rash, minimal pedal edema Fatigue, dizziness Diarrhea, vomiting, dyspnea Fever, limb weakness, conjunctivitis, diarrhea, dyspnea Fever, seizure, diarrhea, vomiting Dyspnea, cough Fever, nausea, abdominal pain, decreased appetite Fever, fatigue, lymphadenopathy, headache, seizure, vomiting, transient visual impairment
Clinical findings Days before admission 0 6 4 7 10 4 1 1 10 3 1 3 7
Comorbidities Acute appendicitis with generalized peritonitis None Spastic cerebral palsy None None End- stage kidney disease on hemodialysis Total AV block, infective endocarditis None None Intussusception End- stage kidney disease on hemodialysis, focal segmental glomerulosclerosis Acute appendicitis Hypertensive encephalopathy, nephritic syndrome, neuromyelitis optica, optic neuritis
Initial oxygen supplementation therapy No No Yes Yes Yes No No No Yes Yes Yes No Yes
Presence of shock Septic shock mimic None Hypovolemic Cardiogenic Hypovolemic None Cardiac, hypovolemic, septic shock mimic Hypovolemic None Hypovolemic None Septic shock mimic None
Mechanical ventilation Yes No Yes No No No Yes No Yes Yes Yes No Yes
Intubation Yes No Yes No No No Yes No Yes Yes Yes Yes Yes
Exposure to healthcare facilities or professionals Yes Yes Yes No Yes No No Yes Yes No Yes Yes Yes
History of contact with suspected or confirmed cases No Yes No No Yes Yes No No No No No No No
Cause of death Septic shock mimic ARDS
Key initial laboratory and radiographic findings PCR sample Naso-oropharyngeal Naso-oropharyngeal and rectal Naso-oropharyngeal Naso-oropharyngeal Naso-oropharyngeal Naso-oropharyngeal Naso-oropharyngeal Naso-oropharyngeal and rectal Naso-oropharyngeal Naso-oropharyngeal Naso-oropharyngeal Naso-oropharyngeal Naso-oropharyngeal and ETT aspirate
PCR results
  • Positive; Ct value

  • N/A

Negative Negative Positive
  • Positive; Ct value

  • 33.6

Negative Positivea Negative Negative Negative Negative Negative Negative
SARS- CoV-2 antibody test Negative IgG (+) IgG (+) IgM and IgG (+) N/A Negative IgM (+) IgG (+) IgG (+) IgG (+) IgG (+) IgM and IgG (+) IgG (+)
Chest X-ray Normal Lower left lobe infiltrate Bilateral infiltrate Cardiomegaly with lung edema, thickening of hilar bilaterally Infiltrate at right paracardial and bilateral suprahilar and perihilar infiltrate N/A Cardiomegaly, inhomogeneous opacity at the apex of right lung, cardiac pacemaker projected in the ventricle Infiltrate at right upper and lower lobe and left perihilar Normal Normal Inhomogeneous consolidation at both lungs Normal Infiltrate at both lungs
Echocardiography N/A Depressed LV function with EF 42% Normal Poor contractility N/A N/A Vegetation (+) N/A N/A N/A
  • Minimal pericardial effusion, EF

  • 69%

N/A N/A

Note: N/A, not available; M, male; F, female; ER, emergency room; BPM, beats per minute; L, liter; NC, nasal cannula; NRM, non-rebreathing mask; RA, room air; MV, mechanical ventilation; PCR, polymerase chain reaction; Ab, antibody; IgG, immunoglobulin G; IgM, immunoglobulin M; MAP, mean arterial pressure; CRP, C-reactive protein; LV, left ventricle; EF, ejection fraction; MR, mitral regurgitation; TR, tricuspid regurgitation; NS, normal saline; RL, ringer lactate; FiO2, fraction of inspired oxygen; ETT, endotracheal tube; ARDS, acute respiratory distress syndrome; Ct, cycle threshold; AV, atrio-ventricular.

a

Positive result was obtained from the referring hospital.