Multisystem Inflammatory Syndrome in Child after Covid-19

MIS-C is a disorder that causes inflammation of several organ systems, involving the brain, lungs, heart, kidneys, GIT, skin, and eyes, among pediatric patients with COVID-19. Here, we investigated a male child aged 6 years presented by high grade fever (39-40 C) for five days, not responding to oral antipyretic, with swollen hands and feet started 2 days after fever, Gastrointestinal symptoms (abdominal pain, vomiting, diarrhea). In addition, he had difficulty of breathing, erythematous rash on the back appeared on the third day. The case was admitted to pediatric intensive care unit (PICU) and received IV IG once and corticosteroids 60 mg/kg/d for 3 days. Blood test showed elevated inflammatory markers, increased liver enzymes, hypoalbuminemia, thrombocytopenia, and coagulopathy. Finally, he recovered well after IV IG and corticosteroids and discharged well on corticosteroids with gradual withdrawal within 1 month.