Multisystem Inflammatory Syndrome in Children

Background: As the number of coronavirus disease 2019 (COVID-19) cases increases globally, more cases of a rare COVID-19-associated disease process are being identified in the pediatric population. This syndrome is referred to as multisystem inflammatory syndrome in children (MIS-C). Clinical manifestations of the syndrome vary and include one or a combination of the following: vasodilatory shock, cardiogenic shock, Kawasaki-like disease, cytokine storming, coronary artery dilatation, and aneurysms. Case Report: This case report describes the presentation, findings, workup, and treatment for a 9-year-old boy diagnosed with MIS-C. Why Should an Emergency Physician Be Aware of This?: It is important to recognize MISC, as it shares many of the same features as other disease processes, for example, Kawasaki disease and toxic shock syndrome, but has different complications if left untreated. (C) 2020 Elsevier Inc. All rights reserved.