{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,27]],"date-time":"2026-02-27T05:13:16Z","timestamp":1772169196525,"version":"3.50.1"},"reference-count":6,"publisher":"SMC Media","issue":"10","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"abstract":"<jats:p>Background: Kawasaki-like syndrome occurring in children during the COVID-19 pandemic has been labelled multisystem inflammatory syndrome in children (MIS-C) by the CDC and paediatric inflammatory multisystem syndrome temporally associated with SARS-CoV-2 infection (PIMS-TS) by the ECDC.\u00a0 Case report: We report the case of an 18-year-old male patient presenting with a 72-hour history of abdominal pain, fever, erythematous skin rash, vomiting and diarrhoea. Examination showed he also had shock and he was first thought to have oedematous cholecystitis. SARS-CoV-2 infection was also diagnosed. He was admitted to the ICU, and echocardiography showed cardiac dysfunction, with a low ejection fraction and low cardiac index. High-sensitivity troponin serum levels were elevated. The patient received inotropic and vasopressor support. As he fulfilled several criteria for MIS-C\/PIMS-TS, he was administered acetylsalicylic acid, corticosteroids and immunoglobulin, with a good clinical response.&lt;br \/&gt; Conclusion: This case emphasizes how this severe presentation of COVID-19 can easily be misdiagnosed if the clinician is less aware of this syndrome in younger patients.<\/jats:p>","DOI":"10.12890\/2020_001886","type":"journal-article","created":{"date-parts":[[2021,5,25]],"date-time":"2021-05-25T09:52:37Z","timestamp":1621936357000},"source":"Crossref","is-referenced-by-count":5,"title":["Kawasaki-like Syndrome as an Emerging Complication of SARS-CoV-2 Infection in Young Adults"],"prefix":"10.12890","volume":"7","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-3616-5440","authenticated-orcid":false,"given":"C\u00e9sar Burgi","family":"Vieira","sequence":"first","affiliation":[{"name":"Unidade Funcional Medicina 2.4, Centro Hospitalar Universit\u00e1rio de Lisboa Central, Lisboa, Portugal"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ana Teresa","family":"Ferreira","sequence":"first","affiliation":[{"name":"Unidade Funcional Medicina 4, Centro Hospitalar Universit\u00e1rio de Lisboa Central, Lisboa, Portugal"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Filipa Botelho","family":"Cardoso","sequence":"first","affiliation":[{"name":"Unidade Funcional Medicina 1.4, Centro Hospitalar Universit\u00e1rio de Lisboa Central, Lisboa, Portugal"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jorge Pelicano","family":"Paulos","sequence":"first","affiliation":[{"name":"Departamento de Anestesiologia, Centro Hospitalar Universit\u00e1rio de Lisboa Central, Lisboa, Portugal"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nuno","family":"Germano","sequence":"first","affiliation":[{"name":"Unidade de Cuidados Intensivos Polivalente 7, Centro Hospitalar Universit\u00e1rio de Lisboa Central, Lisboa, Portugal"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"10397","published-online":{"date-parts":[[2020,9,10]]},"reference":[{"key":"10.12890\/2020_001886_ref1","unstructured":"<li>Dong Y, Mo X, Hu Y, et al. Epidemiological characteristics of 2143 pediatric patients with 2019 coronavirus disease in China. <em>Pediatrics<\/em> 2020; doi: 10.1542\/peds.2020-0702.<\/li>"},{"key":"10.12890\/2020_001886_ref2","doi-asserted-by":"crossref","unstructured":"<li>Kim GB. Reality of Kawasaki disease epidemiology. <em>Korean J Pediatr<\/em> 2019;<strong>62<\/strong>(8):292\u2013296.<\/li>","DOI":"10.3345\/kjp.2019.00157"},{"key":"10.12890\/2020_001886_ref3","doi-asserted-by":"crossref","unstructured":"<li>De Graeff N, Groot N, Ozen S, Eleftheriou D, Avcin T, Bader-Meunier B, et al. European consensus-based recommendations for the diagnosis and treatment of Kawasaki disease - the SHARE initiative. <em>Rheumatology (Oxford)<\/em> 2019;<strong>58<\/strong>(4):672\u2013682.<\/li>","DOI":"10.1093\/rheumatology\/key344"},{"key":"10.12890\/2020_001886_ref4","doi-asserted-by":"crossref","unstructured":"<li>Loomba R, Villarreal E, Flores S. COVID-19 and Kawasaki syndrome: should we really be surprised? <em>Cardiol Young<\/em> 2020 May 15:1\u20132.<\/li>","DOI":"10.1017\/S1047951120001432"},{"key":"10.12890\/2020_001886_ref5","unstructured":"<li>CDC Health Alert Network. Multisystem Inflammatory Syndrome in Children (MIS-C) Associated with Coronavirus Disease 2019. Available from: https:\/\/emergency.cdc.gov\/han\/2020\/han00432.asp<\/li>"},{"key":"10.12890\/2020_001886_ref6","unstructured":"<li> European Centre for Disease Prevention and Control. Paediatric inflammatory multisystem syndrome and SARS-CoV-2 infection in children \u2013 15 May 2020. ECDC: Stockholm; 2020. Available from: https:\/\/www.ecdc.europa.eu\/en\/publications-data\/paediatric-inflammatory-multisystem-syndrome-and-sars-cov-2-rapid-risk-assessment<\/li>"}],"container-title":["European Journal of Case Reports in Internal Medicine"],"original-title":[],"link":[{"URL":"https:\/\/www.ejcrim.com\/index.php\/EJCRIM\/article\/download\/1886\/2333","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/www.ejcrim.com\/index.php\/EJCRIM\/article\/download\/1886\/2334","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/www.ejcrim.com\/index.php\/EJCRIM\/article\/download\/1886\/2334","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,8,29]],"date-time":"2025-08-29T13:35:13Z","timestamp":1756474513000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ejcrim.com\/index.php\/EJCRIM\/article\/view\/1886"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,9,10]]},"references-count":6,"journal-issue":{"issue":"10","published-online":{"date-parts":[[2020]]}},"URL":"https:\/\/doi.org\/10.12890\/2020_001886","relation":{"has-manifestation":[{"id-type":"other","id":"1-63-1886-g2333","asserted-by":"subject"},{"id-type":"other","id":"1-63-1886-g2334","asserted-by":"subject"}],"is-part-of":[{"id-type":"other","id":"1-63","asserted-by":"subject"}],"is-cited-by":[{"id-type":"doi","id":"10.1007\/s00296-021-04843-1","asserted-by":"object"},{"id-type":"doi","id":"10.1128\/CMR.00133-20","asserted-by":"object"}]},"ISSN":["2284-2594"],"issn-type":[{"value":"2284-2594","type":"electronic"}],"subject":[],"published":{"date-parts":[[2020,9,10]]}}}