{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,11,4]],"date-time":"2025-11-04T16:18:49Z","timestamp":1762273129753,"version":"build-2065373602"},"reference-count":19,"publisher":"MDPI AG","issue":"3","license":[{"start":{"date-parts":[[2023,9,4]],"date-time":"2023-09-04T00:00:00Z","timestamp":1693785600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Pediatric Reports"],"abstract":"<jats:p>The novel coronavirus disease (COVID-19) continues to evolve. Severe acute respiratory syndrome coronavirus-2 (SARS-CoV-2)-associated multisystem inflammatory syndrome in children (MIS-C) is a rare post-COVID-19 complication that affects children with critical outcomes. Few MIS-C reports were available from Arab-Asian ethnicities. We here describe a presentation mimicking a head injury overlapping the manifestations of MIS-C in a child from Iraq. A 10-year-old boy presented with blunt trauma in a shock-like status, and a head injury was suspected. Since he was febrile two days before the trauma, another pathology was assumed. Imaging and laboratory evaluations were performed, and after excluding gross neurosurgical etiology, he was initially treated as a toxic shock syndrome. Meanwhile, he was deteriorating with continuous fever, impaired consciousness, and seizure on the following day. Although not considered initially, close monitoring with a multidisciplinary approach and serial investigations revealed that the child met the criteria of MIS-C. SARS-CoV-2 IgG was shown to be high, while the RT-PCR of COVID-19 was negative. Once he received immunoglobulin and methylprednisolone, he improved dramatically. In conclusion, this report aimed to increase awareness about MIS-C among health workers and emphasized the need for a multidisciplinary team approach in Iraq due to the importance of timely treatment.<\/jats:p>","DOI":"10.3390\/pediatric15030048","type":"journal-article","created":{"date-parts":[[2023,9,4]],"date-time":"2023-09-04T10:24:30Z","timestamp":1693823070000},"page":"532-540","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["SARS-CoV-2-Associated Multisystem Inflammatory Syndrome in Children (MIS-C): A Case Report from Iraq"],"prefix":"10.3390","volume":"15","author":[{"given":"Ruwaid Behnam Y.","family":"Al-Simaani","sequence":"first","affiliation":[{"name":"Department of Pediatrics, Al-Sheikhan General Hospital, Nineveh 42012, Iraq"},{"name":"Department of Pediatrics, Noorjan Medical Center, Erbil 44001, Iraq"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Lika\u2019a Fasih Y.","family":"Al-Kzayer","sequence":"additional","affiliation":[{"name":"Department of Pediatrics, Shinshu University School of Medicine, Matsumoto 390-8621, Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kenan Hussien","family":"Ali","sequence":"additional","affiliation":[{"name":"Department of Family Medicine, College of Medicine, Baghdad University, Baghdad 10071, Iraq"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mouroge H.","family":"Al-Ani","sequence":"additional","affiliation":[{"name":"Department of Pediatrics, Nana-Kali Hospital for Hemato-Oncology, Erbil 44001, Iraq"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yozo","family":"Nakazawa","sequence":"additional","affiliation":[{"name":"Department of Pediatrics, Shinshu University School of Medicine, Matsumoto 390-8621, Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1968","published-online":{"date-parts":[[2023,9,4]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"744903","DOI":"10.3389\/fcimb.2021.744903","article-title":"A Comprehensive Overview on COVID-19: Future Perspectives","volume":"11","author":"Rana","year":"2021","journal-title":"Front. 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Iraq: WHO Coronavirus Disease (COVID-19) Dashboard. Available online: https:\/\/covid19.who.int\/region\/emro\/country\/iq."},{"key":"ref_19","doi-asserted-by":"crossref","first-page":"S53","DOI":"10.1093\/pch\/pxab110","article-title":"All hands on deck: A multidisciplinary approach to SARS-CoV-2-associated MIS-C","volume":"27","author":"Lopez","year":"2022","journal-title":"Paediatr. Child Health"}],"container-title":["Pediatric Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.mdpi.com\/2036-7503\/15\/3\/48\/pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,10]],"date-time":"2025-10-10T20:46:11Z","timestamp":1760129171000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.mdpi.com\/2036-7503\/15\/3\/48"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,9,4]]},"references-count":19,"journal-issue":{"issue":"3","published-online":{"date-parts":[[2023,9]]}},"alternative-id":["pediatric15030048"],"URL":"https:\/\/doi.org\/10.3390\/pediatric15030048","relation":{},"ISSN":["2036-7503"],"issn-type":[{"type":"electronic","value":"2036-7503"}],"subject":[],"published":{"date-parts":[[2023,9,4]]}}}