ISSN - 0973-0958

Pediatric Oncall Journal View Article

Unusual cutaneous and neurological complications in a child with Multisystem inflammatory syndrome
Nisha R, Poovazhagi V, Seenivasan S, Karthick A R.
Department of Paediatric Intensive Care, Institute of Child Health, Madras Medical College, Chennai, India.
4 years female child was admitted with fever and loose stools for 1 day. She was resuscitated with fluids and inotropes for hypotensive shock. Child developed cutaneous discolouration over dorsal aspect of left hand that progressed to gangrene. IgG covid antibody was positive. She was diagnosed as MIS-C and treated with immunoglobulin, methylprednisolone, aspirin, anticoagulants and antibiotics. Later, she developed cerebellar features. Neuroimaging revealed bilateral cerebellitis. She improved over the next one week and was discharged on oral drugs. Cutaneous manifestation with such severe intensity and cerebellitis as a neurological complication in MIS-C is very unusual.

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