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 language | English (US) |
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Article number | e242392 |
Journal | BMJ Case Reports |
Volume | 14 |
Issue number | 5 |
DOIs | |
State | Published - May 12 2021 |
Keywords
- COVID-19
- infectious diseases
- rheumatology
ASJC Scopus subject areas
- General Medicine