Features of intestinal disease associated with COVID‐related multisystem inflammatory syndrome in children

B Sahn, OP Eze, MC Edelman… - Journal of pediatric …, 2021 - Wiley Online Library
B Sahn, OP Eze, MC Edelman, CE Chougar, RM Thomas, CL Schleien, T Weinstein
Journal of pediatric gastroenterology and nutrition, 2021Wiley Online Library
Multisystem inflammatory syndrome in children (MIS‐C) is a recently identified syndrome
that appears to be temporally associated with novel coronavirus 2019 infection. MIS‐C
presents with fever and evidence of systemic inflammation, which can manifest as
cardiovascular, pulmonary, neurologic, and gastrointestinal (GI) system dysfunction.
Presenting GI symptoms are seen in the majority, including abdominal pain, diarrhea, and
vomiting. Any segment of the GI tract may be affected; however, inflammation in the ileum …
Abstract
Multisystem inflammatory syndrome in children (MIS‐C) is a recently identified syndrome that appears to be temporally associated with novel coronavirus 2019 infection. MIS‐C presents with fever and evidence of systemic inflammation, which can manifest as cardiovascular, pulmonary, neurologic, and gastrointestinal (GI) system dysfunction. Presenting GI symptoms are seen in the majority, including abdominal pain, diarrhea, and vomiting. Any segment of the GI tract may be affected; however, inflammation in the ileum and colon predominates. Progressive bowel wall thickening can lead to luminal narrowing and obstruction. Most will have resolution of intestinal inflammation with medical therapies; however, in rare instances, surgical resection may be required.
Wiley Online Library