Page 396 - Abstract Book KONIKA 18

Respirology

P-RES-013
COVID 19 with Multisystem Inflammatory Syndrome in Columbia Asia Pulomas
Hospital: a Case Report

May Velyn Dina, Imelda Pingkan
Child Health Department, Columbia Asia Pulomas Hospital, Jakarta, Indonesia

Abstract
Background Multisystem inflammatory syndrome in children (MIS-C) is a condition where different
body parts can become inflamed, including the heart, lungs, kidneys, brain, skin, eyes, or gastrointestinal
organs. Objective To report a case of multisystem inflammatory syndrome in children. Case A 11-year-old
boy presented to emergency department Columbia Asia Pulomas hospital with fever for 4 days before,
bloodshot eyes, oedema palpebra, dizzy, redness on the abdomen and palm of the hands. Sometimes feels
difficult to breath. Cough (-). On physical examination: oedema palpebra +/+, conjunctiva hyperemis +/+,
enlarged lymph nodes at regio coli dextra. In pulmonary examination: vesicular +/+, crackles +/+. macular
erythema on stomach and palm of the hands. In laboratory findings: Leukocytosis 22.830, elevated of
neutrofil 88,1% and low Lymphocyte 7,0%, D-dimer 2920 ng/ml. Hemoglobin, hematocrit, and Trombosit
were normal, SARS COV PCR detected. In radiological finding: Bronchopneumonia, duplex pleural effusion.
The patient then diagnosed as Confirmed covid 19 with MIS and hospitalized and got treatment with
Azithromycin, Ceftriaxone, Oseltamivir, Fluimucil, zinc, vit D, vit C, vit B Complex, and Diviti SC for 5
days as anticoagulant. The patient was hospitalized for 10 days and checked D-dimer, leukocyte, hemoglobin,
hematocrit, thrombocyte, and SARS COV PCR for evaluation and the result were normal. Conclusions
The diagnosis of MISC is challenging due to the variety of clinical and laboratory manifestations, with
both positive and negative COVID-19 results, but that should not delay therapy as soon as the diagnostic
suspicion is generated.
Keywords: multisystem inflammatory syndrome in children; COVID-19

348 KONIKA XVIII Abstract Book