{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,9,27]],"date-time":"2025-09-27T08:16:53Z","timestamp":1758961013408,"version":"3.44.0"},"reference-count":12,"publisher":"BMJ","issue":"7","license":[{"start":{"date-parts":[[2021,7,1]],"date-time":"2021-07-01T00:00:00Z","timestamp":1625097600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/bmj.com\/coronavirus\/usage"}],"content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Rep"],"accepted":{"date-parts":[[2021,5,18]]},"published-print":{"date-parts":[[2021,7]]},"abstract":"<jats:p>Kawasaki-like hyperinflammatory syndrome has been widely described as a manifestation of SARS-CoV-2 infection in paediatric patients. We report a compatible presentation and suggest that physicians consider the potential for this multisystem inflammatory syndrome to occur in adults. A 23-year-old man presented to hospital with a 4-day history of vomiting, diarrhoea, dry cough, fever and a blanching erythematous rash on hands, feet and buttocks. He was otherwise fit and healthy. On day 3 of admission, marked bilateral conjunctivitis developed and high sensitivity troponin I increased significantly, followed by acute respiratory compromise requiring high-flow nasal oxygen therapy. Transthoracic echocardiogram on day 5 showed severe global hypokinesis of the left ventricle with an ejection fraction of 22%. SARS-CoV-2 was not detected by reverse transcription PCR on nasopharyngeal swabs, sputum or stool samples, however, SARS-CoV-2 antibody was positive. The patient\u2019s syndrome resolved and cardiomyopathy reversed completely with supportive measures. He has since made a good recovery.<\/jats:p>","DOI":"10.1136\/bcr-2020-240845","type":"journal-article","created":{"date-parts":[[2021,7,23]],"date-time":"2021-07-23T13:32:41Z","timestamp":1627047161000},"page":"e240845","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":7,"title":["Kawasaki-like multisystem inflammatory syndrome associated with SARS-CoV-2 infection in an adult"],"prefix":"10.1136","volume":"14","author":[{"given":"Eamonn","family":"Faller","sequence":"first","affiliation":[{"name":"Department of Infectious Diseases, Cork University Hospital Group, Cork, Ireland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Rachel","family":"Barry","sequence":"additional","affiliation":[{"name":"Microbiology, Cork University Hospital, Cork, Ireland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Owen","family":"O'Flynn","sequence":"additional","affiliation":[{"name":"Department of Medicine, Cork University Hospital, Wilton, Cork"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Peter","family":"Kearney","sequence":"additional","affiliation":[{"name":"Cardiology, Cork University Hospital Group, Cork, Ireland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Corinna","family":"Sadlier","sequence":"additional","affiliation":[{"name":"Department of Infectious Diseases, Cork University Hospital Group, Cork, Ireland"},{"name":"School of medicine, University College Cork, Cork, Ireland"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2021,7,23]]},"reference":[{"unstructured":"World Health Organization . WHO coronavirus disease (COVID-19) Dashboard | WHO coronavirus disease (COVID-19) Dashboard.","key":"2025082622411511000_14.7.e240845.1"},{"doi-asserted-by":"publisher","key":"2025082622411511000_14.7.e240845.2","DOI":"10.1016\/S0140-6736(20)31094-1"},{"doi-asserted-by":"publisher","key":"2025082622411511000_14.7.e240845.3","DOI":"10.1056\/NEJMoa2021680"},{"doi-asserted-by":"publisher","key":"2025082622411511000_14.7.e240845.4","DOI":"10.1016\/j.thromres.2020.04.013"},{"doi-asserted-by":"publisher","key":"2025082622411511000_14.7.e240845.5","DOI":"10.1007\/s00134-020-06062-x"},{"doi-asserted-by":"crossref","unstructured":"Oates-Whitehead RM , Baumer JH , Haines L , et al . Intravenous immunoglobulin for the treatment of Kawasaki disease in children. 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