Abstract
Since the emergence of SARS-CoV-2, clinicians have been challenged with a wide spectrum of disease severity. One of the serious complications associated with the virus is multisystem inflammatory syndrome in children (MIS-C). It is characterised by inflammation leading to organ damage, in the setting of positive SARS-CoV-2 infection. MIS-C is thought to be a postviral reaction where most children are negative on PCR testing but are positive for SARS-CoV-2 antibodies. The Centers for Disease Control and Prevention recently defined the same phenomenon occurring in adults as multisystem inflammatory syndrome in adults (MIS-A) and emphasised on the use of antibody testing in this population. Here we describe an adult woman with an exposure to SARS-CoV-2 who presented with unexplained organ failure and shock. Positive antibody testing was the only clue to the diagnosis of MIS-A. We stress the importance of SARS-CoV-2 antibody detection in order to identify these cases.
Keywords: COVID-19; medical management.
【저자키워드】 COVID-19, medical management, 【초록키워드】 SARS-CoV-2, Inflammation, Antibody testing, Stress, SARS-COV-2 infection, children, disease severity, Diagnosis, prevention, virus, MIS-C, PCR testing, Shock, SARS-CoV-2 antibodies, SARS-CoV-2 antibody, management, disease control, Control, Inflammatory, Organ failure, exposure to, clinician, syndrome, center, organ damage, positive, serious complication, thought, defined, identify, 【제목키워드】 pandemic, Inflammatory, syndrome, organ, COVID-19 complication,