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Case report
COVID-19 multisystemic inflammatory syndrome in adults: a not to be missed diagnosis
  1. Yale Tung-Chen1,
  2. Ana Algora-Martín2,
  3. Sonia Rodríguez-Roca2 and
  4. Alberto Díaz de Santiago3
  1. 1Internal Medicine, Hospital Universitario Puerta de Hierro Majadahonda, Majadahonda, Spain
  2. 2Emergency Medicine, La Paz University Hospital, Madrid, Spain
  3. 3Internal Medicine, Hospital Universitario Clinica Puerta de Hierro, Majadahonda, Spain
  1. Correspondence to Dr Alberto Díaz de Santiago; ddsalbertorubio{at}hotmail.com

Abstract

We report COVID-19 multisystemic inflammatory syndrome in an adult patient with an atypical presentation (mild abdominal pain) and a negative (repeated) reverse transcriptase-PCR, in the absence of lung involvement on lung ultrasound. In this case, focused cardiac ultrasound revealed signs of myopericarditis and enabled us to focus on the problem that was putting our patient in a perilous situation, with a quick, non-time-consuming and easy-to-access technique. Serology test was performed and SARS-CoV-2 infection was confirmed more than a week after admission to the coronary unit. As the patient had a general good appearance, the potential implications of missing this diagnosis could have been fatal.

  • infectious diseases
  • ultrasonography
  • TB and other respiratory infections
  • cardiovascular medicine

This article is made freely available for use in accordance with BMJ’s website terms and conditions for the duration of the covid-19 pandemic or until otherwise determined by BMJ. You may use, download and print the article for any lawful, non-commercial purpose (including text and data mining) provided that all copyright notices and trade marks are retained.

https://bmj.com/coronavirus/usage

https://doi.org/10.1136/bcr-2021-241696

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    Footnotes

    • Contributors All authors contributed to this work. Conception and design: YT-C. Data collection: YT-C, AAM. Writing the article: SRR, ADdS. Critical revision of the article: YT-C, AAM, ADdS, SRR. Final approval of the article: YT-C, AAM, SRR, ADdS. Overall responsibility: YT-C, AAM.

    • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

    • Competing interests None declared.

    • Provenance and peer review Not commissioned; externally peer reviewed.