12 October 2021
: Case report 
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 Giordano1ABCD, Maria Concetta Failla1ABD, Maria Grazia Li Cavoli1ABD, Domenico Romano2BEF, Veronica Vanella2BE, Chiara Caruso2B, Ilenia Chillura2B, Maria Cristina Maggio2ABCDEF*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.
| Data | Day 1 | Day 2 | Day 3 | Day 4 | Day 5 | Day 5 | Day 6 | Day 13 |
|---|---|---|---|---|---|---|---|---|
| Admission | Morning | Evening | ||||||
| Treatment | IVIG+mPDN | Albumin | ||||||
| Weight (kg) | 20 kg | |||||||
| Heart rate | 140 | 110 | 110 | 100 | 75 | 81 | 80 | 101 |
| Respiratory rate | 45 | 45 | 35 | 30 | ||||
| Temperature | 39.7°C | 38°C | 37°C | 36°C | 36°C | 36.5°C | 36.4°C | 36°C |
| Sat O2 | 94% | 98% | 99% | |||||
| O2 2 L | 99% | |||||||
| O2 2 L | 99% | 97% | 96% | 100% | ||||
| BP (mmHg) | 100/65 | 89/33 | 105/50 | 95/59 | 100/40 | 104/66 | 105/55 | |
| mPDN – methylprednisolone; O2 – oxygen; Sat O2 – oxygen saturation; BP – blood pressure. | ||||||||