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[Rare but potentially life-threatening - Multisystem inflammatory syndrome in adults - a case description]. / Hyperinflammation hos vuxna med covid-19 ­ ovanligt men allvarligt.
Berntson, Lillemor; von Seth, Magnus; Bülow Anderberg, Sara; Åkerström, Tobias; Kurland, Siri.
Afiliação
  • Berntson L; .
  • von Seth M; med dr, överläkare, intensivvårdssektionen, ANOPIVA, Akademiska sjukhuset, Uppsala.
  • Bülow Anderberg S; doktorand, specialistläkare, , intensivvårdssektionen, ANOPIVA, Akademiska sjukhuset, Uppsala.
  • Åkerström T; med dr, ST-läkare, kirurgkliniken, Akademiska sjukhuset, Uppsala.
  • Kurland S; doktorand, bitr överläkare, infektionskliniken; samtliga Akademiska sjukhuset, UppsalaSiri Kurland, doktorand, bitr överläkare, infektionskliniken, Akademiska sjukhuset, Uppsala.
Lakartidningen ; 1182021 05 17.
Article em Sv | MEDLINE | ID: mdl-33999400
Multisystem inflammatory syndrome in adults, MIS-A, is a rare but severe post-covid-19 immunologic complication. The presentation is similar to Multisystem inflammatory syndrome in children, MIS-C. Both MIS-A/C are life-threatening immunologic syndromes characterized by hypotension, skin rashes, myocardial affection, coagulopathy and GI symptoms.  Here we describe a case of MIS-A in a 35-year-old previously healthy female who, five weeks after a mild covid-19 infection, presented with a life-threatening immunological reaction. The patient made a swift recovery upon treatment with immunoglobulins, corticosteroids and an interleukin-1 receptor antagonist. We want to highlight the importance of immunological derangements following covid-19 infections in adults. We also present a treatment suggestion for MIS-A based on the management routine for MIS-C, which has been developed from international discussions and collaborations by pediatric rheumatologists in Sweden and around the world.
Assuntos
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Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: COVID-19 Limite: Adult / Child / Female / Humans País/Região como assunto: Europa Idioma: Sv Revista: Lakartidningen Ano de publicação: 2021 Tipo de documento: Article
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Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: COVID-19 Limite: Adult / Child / Female / Humans País/Região como assunto: Europa Idioma: Sv Revista: Lakartidningen Ano de publicação: 2021 Tipo de documento: Article