Severe cardiac dysfunction in a patient with multisystem inflammatory syndrome in children associated with COVID-19: Retrospective diagnosis of a puzzling presentation. A case report

Statement on the second meeting of the International Health Regulations (2005) Emergency Committee regarding the outbreak of novel coronavirus (2019-nCoV). World Health Organization. Available at: https://www.who.int/news-room/detail/30-01-2020-statement-on-the-second-meeting-of-the-international-health-regulations-(2005)-emergency-committee-regarding-the-outbreak-of-novel-coronavirus-(2019-ncov) (Accessed January 20th, 2020). Shekerdemian, 2020, Characteristics and outcomes of children with coronavirus disease 2019 (COVID-19) infection admitted to US and Canadian pediatric intensive care units, JAMA Pediatr, 10.1001/jamapediatrics.2020.1948 New York City Department of Health: Health alert #13: pediatric multi-system inflammatory syndrome potentially associated with COVID-19. New York City Department of Health. Available at: https://www1.nyc.gov/site/doh/providers/resources/health-alert-network.page (Accessed May 27th, 2020). Centers for Disease Control and Prevention Health advisory: multisystem inflammatory syndrome in children (MIS-C) associated with coronavirus disease 2019 (COVID-19). Centers for Disease Control and Prevention. Available at: https://emergency.cdc.gov/han/2020/han00432.asp (Accessed May 27th, 2020). World Health Organization Scientific brief: multisystem inflammatory syndrome in children and adolescents with COVID-19. World Health Organization. Available at: https://www.who.int/publications-detail/multisystem-inflammatory-syndrome-in-children-and-adolescents-with-covid-19 (Accessed May 27th, 2020). Dallan, 2020, Septic shock presentation in adolescents with COVID-19, Lancet Child Adolesc Health, 4, e21, 10.1016/S2352-4642(20)30164-4 Latimer, 2020, Cardiac dysfunction and thrombocytopenia-associated multiple organ failure inflammation phenotype in a severe paediatric case of COVID-19, Lancet Child Adolesc Health, 4, 552, 10.1016/S2352-4642(20)30163-2 Belhadjer, 2020, Acute heart failure in multisystem inflammatory syndrome in children (MIS-C) in the context of global SARS-CoV-2 pandemic, Circulation, 10.1161/CIRCULATIONAHA.120.048360 Riphagen, 2020, Hyperinflammatory shock in children during COVID-19 pandemic, Lancet., 395, 1607, 10.1016/S0140-6736(20)31094-1 Son, 2020, Coronavirus disease 2019 (COVID-19): multisystem inflammatory syndrome in children Gewitz, 2015, Revision of the Jones Criteria for the diagnosis of acute rheumatic fever in the era of Doppler echocardiography: a scientific statement from the American Heart Association, Circulation., 131, 1806, 10.1161/CIR.0000000000000205 McCrindle, 2017, Diagnosis, treatment, and long-term management of Kawasaki disease: a scientific statement for health professionals from the American Heart Association, Circulation., 135, e927, 10.1161/CIR.0000000000000484 Bejiqi, 2019, The diagnostic and clinical approach to pediatric myocarditis: a review of the current literature, Open Access Maced J Med Sci, 7, 162, 10.3889/oamjms.2019.010