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)

Salvatore Giordano; Maria Concetta Failla; Maria Grazia Li Cavoli; Domenico Romano; Veronica Vanella; Chiara Caruso; Ilenia Chillura; Maria Cristina Maggio

doi:10.12659/AJCR.931570

12 October 2021 : Case report Italy

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^1ABCD, Maria Concetta Failla^1ABD, Maria Grazia Li Cavoli^1ABD, Domenico Romano^2BEF, Veronica Vanella^2BE, Chiara Caruso^2B, Ilenia Chillura^2B, Maria Cristina Maggio^2ABCDEF*

DOI: 10.12659/AJCR.931570

Am J Case Rep 2021; 22:e931570

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Table 3. Case 2. Clinical findings in a 14-year-old girl with multisystem inflammatory syndrome in children (MIS-C) associated with SARS-CoV-2 infection.

Data	Day 1	Day 4	Day 5	Day 6	Day 8	Day 16
Treatment	Admission		mPDN+IVIG +enoxaparin +furosemide +albumin			Discharge
Weight (kg)	83.8	84	85	89	88	85
Temperature	40°C	38.7°C	37.8°C	36.6°C	36.1°C	36.2°C
Heart rate	120	90	140	90		90
Respiratory rate			45	20		30
Sat O2	99	97	97	98	99	100
Diuresis		Oliguria	Oliguria	Normal diuresis
BP (mmHg)	104/55		84/60	120/60	112/60	120/70
mPDN – methylprednisolone; O2 – oxygen; Sat O2 – oxygen saturation; BP – blood pressure.

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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)

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