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자료유형
학술저널
저자정보
Chung Hyemin (Department of Infectious Disease Asan Medical Center University of Ulsan College of Medicine Seoul) Seo Hyeonji (Department of Infectious Disease Asan Medical Center University of Ulsan College of Medicine Seoul) Park Sunghee (Department of Infectious Disease Asan Medical Center University of Ulsan College of Medicine Seoul) Kim Haein (Department of Infectious Disease Asan Medical Center University of Ulsan College of Medicine Seoul) Jung Jiwon (Department of Infectious Disease Asan Medical Center University of Ulsan College of Medicine Seoul) Chong Yong Pil (Department of Infectious Disease Asan Medical Center University of Ulsan College of Medicine Seoul) Kim Sung-Han (Department of Infectious Disease Asan Medical Center University of Ulsan College of Medicine Seoul) Lee Sang-Oh (Department of Infectious Disease Asan Medical Center University of Ulsan College of Medicine Seoul) Choi Sang-Ho (Department of Infectious Disease Asan Medical Center University of Ulsan College of Medicine Seoul) Kim Yang Soo (Department of Infectious Disease Asan Medical Center University of Ulsan College of Medicine Seoul) Kim Min Jae (Department of Infectious Disease Asan Medical Center University of Ulsan College of Medicine Seoul)
저널정보
대한의학회 Journal of Korean Medical Science Journal of Korean Medical Science Vol.36 No.25
발행연도
2021.1
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1 - 5 (5page)

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Multisystem inflammatory disease in children is a Kawasaki disease like illness occurring after severe acute respiratory syndrome coronavirus 2 infection in children. As the pandemic progresses, similar syndromes were also reported in adult with a decreased incidence. Multisystem inflammatory syndrome in adults (MIS-A) can be characterized with shock, heart failure, and gastrointestinal symptoms with elevated inflammatory markers after coronavirus disease 2019 (COVID-19) infection. Herein, we describe the first case of MIS-A in South Korea. A 38-year-old man presented to our hospital with a 5-day history of abdominal pain and fever. He had been treated with antibiotics for 5 days at the previous hospital, but symptoms had worsened and he had developed orthopnea on the day of presentation. He suffered COVID-19 six weeks ago. Laboratory data revealed elevated white blood cell counts with neutrophil dominance, C-reactive protein, and B-type natriuretic peptide. Chest X-ray showed normal lung parenchyme and echocardiography showed severe biventricular failure with normal chamber size. We diagnosed him as MIS-A and treated with intravenous immunoglobulin and steroid.

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