Abstract
Multisystem inflammatory disease in children is a Kawasaki disease like illness occurring after severe acute respiratory syndrome coronavirus 2 infection in children. As the pandemic progresses, similar syndromes were also reported in adult with a decreased incidence. Multisystem inflammatory syndrome in adults (MIS-A) can be characterized with shock, heart failure, and gastrointestinal symptoms with elevated inflammatory markers after coronavirus disease 2019 (COVID-19) infection. Herein, we describe the first case of MIS-A in South Korea. A 38-year-old man presented to our hospital with a 5-day history of abdominal pain and fever. He had been treated with antibiotics for 5 days at the previous hospital, but symptoms had worsened and he had developed orthopnea on the day of presentation. He suffered COVID-19 six weeks ago. Laboratory data revealed elevated white blood cell counts with neutrophil dominance, C-reactive protein, and B-type natriuretic peptide. Chest X-ray showed normal lung parenchyme and echocardiography showed severe biventricular failure with normal chamber size. We diagnosed him as MIS-A and treated with intravenous immunoglobulin and steroid.
Keywords: Adult; COVID-19; Multisystem Inflammatory Syndrome.
【저자키워드】 COVID-19, Adult, Multisystem inflammatory syndrome, 【초록키워드】 coronavirus disease, Intravenous immunoglobulin, coronavirus, children, hospital, neutrophil, Infection, peptide, lung, C-reactive protein, Antibiotics, Symptom, abdominal pain, heart failure, X-ray, Shock, White blood cell, Kawasaki disease, Fever, Inflammatory marker, incidence, South Korea, Inflammatory, acute respiratory syndrome, syndrome, inflammatory disease, Gastrointestinal symptom, reported, diagnosed, elevated, characterized, treated, suffered, pandemic progresses, worsened,