Rare presentation of multisystem inflammatory syndrome in an adult associated with SARS-CoV-2 infection: Unilateral neck swelling

Mozhu Li, Waqas Haque, Suchith Vuppala, Ethan Tobias

Research output: Contribution to journalArticlepeer-review

Abstract

Multisystem inflammatory syndrome in adults (MIS-A) is a rare but often severe complication of SARS-CoV-2 infection. While several case reports about MIS-A in the setting of COVID-19 have been published since the term was first coined in June 2020, a clear description of the underlying pathophysiology and guideline-based recommendations on the diagnostic and therapeutic approach are lacking. What has been reported is that in the absence of severe respiratory illness, MIS-A can present with hypotension or shock, high-grade fever, abdominal pain, diarrhoea and severe weakness days to weeks after SARS-CoV-2 infection. Here, we present a case of a 28-year-old man who presented with a rarely described initial symptom: unilateral neck swelling. His presentation, disease progression and treatment course provide further information about MIS-A as a complication and in formulating diagnostic guidelines.

Original languageEnglish (US)
Article numbere242392
JournalBMJ Case Reports
Volume14
Issue number5
DOIs
StatePublished - May 12 2021
Externally publishedYes

Keywords

  • COVID-19
  • infectious diseases
  • rheumatology

ASJC Scopus subject areas

  • Medicine(all)

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