Multisystem inflammatory syndrome in adults with cardiac engagement: a case report and literature review

Abstract Background Following infection with severe acute respiratory syndrome coronavirus, a post-infectious multisystem inflammatory syndrome in adults (MIS-A) has been identified. It affects multiple organ systems and can lead to multi-organic failure. Case summary This case report describes a pa...

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Bibliographic Details
Published in:European heart journal : case reports 2023-12, Vol.7 (12), p.ytad594
Main Authors: Massoud, Linda, Westling, Katarina, Fischer, Marie, Najjar, Emil
Format: Article
Language:English
Subjects:
Case Report
Medicin och hälsovetenskap
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Summary:Abstract Background Following infection with severe acute respiratory syndrome coronavirus, a post-infectious multisystem inflammatory syndrome in adults (MIS-A) has been identified. It affects multiple organ systems and can lead to multi-organic failure. Case summary This case report describes a patient with MIS-A with significant cardiac involvement including peri-myocarditis, pulmonary hypertension, right-sided heart failure, tricuspid regurgitation, and cardiogenic shock. After being diagnosed and treated correctly for MIS-A, the patient recovered completely, without any cardiac sequelae. Discussion The hyperinflammation in MIS-A can have cardiac engagement. Although more research is required to further clarify the underlying mechanisms, prompt diagnosis and anti-inflammatory treatment are crucial for better outcomes and cardiac recovery.
ISSN:2514-2119
2514-2119
DOI:10.1093/ehjcr/ytad594