Acute Myocarditis Revealing a Multisystem Inflammatory Syndrome Following SARS-CoV-2 Infection

Abstract

Multisystem inflammatory syndrome in children (MIS-C) secondary to COVID-19 infection is associated with Multiorgan dysfunction, and prominent cardiovascular complications, particularly myocardial and coronary artery involvement, as well as thrombotic complications that make the prognosis more severe. The treatment of this entity is essentially based on the stabilization of the patient (management of shock…) and the intravenous immunoglobulin associated or not with corticosteroids as first line treatment. .We report the case of a 14year-old girl who suffered from influenza syndrome and cardiogenic shock revealing a Multisystem inflammatory syndrome including a cardiovascular manifestations and Disseminated Intravascular Coagulation (DIC) associated to COVID-19 infection. It was managed with medical treatment including inotropic drogus and immunomodulatory treatment with intravenous immunoglobulin (IVIG) associated to anti-inflammatory treatments including corticosteroids.