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12 October 2021: Articles

A 7-Year-Old Boy and a 14-Year-Old Girl Initially Diagnosed with Toxic Shock Syndrome and Tested Positive for SARS-CoV-2 Infection, Supporting a Diagnosis of Multisystem Inflammatory Syndrome in Children (MIS-C)

Unusual clinical course, Challenging differential diagnosis, Management of emergency care

Salvatore Giordano A , Maria Concetta Failla A , Maria Grazia Li Cavoli A , Domenico Romano B , Veronica Vanella B , Chiara Caruso B , Ilenia Chillura B , Maria Cristina Maggio A*

DOI: 10.12659/AJCR.931570

Am J Case Rep 2021; 22:e931570

Table 1. Case 1. Clinical findings in a 7-year-old boy with multisystem inflammatory syndrome in children (MIS-C) associated with SARS-CoV-2 infection.

DataDay 1Day 2Day 3Day 4Day 5Day 5Day 6Day 13
AdmissionMorningEvening
TreatmentIVIG+mPDNAlbumin
Weight (kg)20 kg
Heart rate140110110100758180101
Respiratory rate45453530
Temperature39.7°C38°C37°C36°C36°C36.5°C36.4°C36°C
Sat O294%98%99%
O2 2 L99%
O2 2 L99%97%96%100%
BP (mmHg)100/6589/33105/5095/59100/40104/66105/55
mPDN – methylprednisolone; O2 – oxygen; Sat O2 – oxygen saturation; BP – blood pressure.

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American Journal of Case Reports eISSN: 1941-5923
American Journal of Case Reports eISSN: 1941-5923