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논문 기본 정보

자료유형
학술저널
저자정보
Lim Bomi (Department of Pediatrics Seoul National University Children’s Hospital Seoul the Republic of Korea.Department of Pediatrics Seoul Metropolitan Government-Seoul National University Boramae Medical Cent) Shin Su-Mi (Department of Radiology Seoul Metropolitan Government-Seoul National University Boramae Medical Center Seoul the Republic of Korea.) Han Mi Seon (Department of Pediatrics Seoul Metropolitan Government-Seoul National University Boramae Medical Center Seoul the Republic of Korea.Department of Pediatrics Seoul National University College of Medici)
저널정보
대한소아감염학회 Pediatric Infection and Vaccine Pediatric Infection and Vaccine 제29권 제3호
발행연도
2022.12
수록면
155 - 160 (6page)
DOI
10.14776/piv.2022.29.e20

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Children and adolescents with coronavirus disease 2019 (COVID-19) generally have mild symptoms. Severe infection due to severe acute respiratory syndrome coronavirus 2 (SARS CoV-2) involving multiorgan dysfunction is rare in this population. Herein, we present an unusual case of severe SARS-CoV-2 infection with multiorgan involvement followed by multisystem inflammatory syndrome in children (MIS-C) in a vaccinated 16-year-old boy. The patient was unconscious on initial presentation, and had severe paralytic ileus. On laboratory examination, there was severe metabolic acidosis, lymphocytopenia, thrombocytopenia, elevated inflammatory markers, elevated liver enzymes, and evidence of acute kidney injury with proteinuria and hematuria. His symptoms improved with the administration of remdesivir and dexamethasone. The patient briefly experienced MIS-C 2 weeks after the diagnosis of COVID-19, but the patient was discharged without any complications.

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