Cardiogenic Shock Due to Multisystem Inflammatory Syndrome in a Young Adult Female

Abstract

Multisystem inflammatory syndrome in adults (MIS-A) was initially described by pediatricians after reporting a temporal association of a mimicker of Kawasaki disease shortly after the resolution of a COVID-19 illness. Since June 2020, there have been an increased amount of reports of adults and adolescents above the age of 18 presenting with the syndrome. We report a case of a 20-year-old female with no medical history who presented with cardiogenic shock and was found to have MIS-A.

Multisystem Inflammatory Syndrome Causing Mixed Cardiogenic Shock in a 34-Year-Old With Influenza A

“…Additionally, she had elevated right-sided pressures, indicating right ventricular failure. This pattern of mixed shock, along with rapid improvement when treated for MIS-A, was seen in other reported cases of MIS-A [6,[12][13][14][15][16][17]. The pathophysiology of heart failure in MIS-A is uncertain and may be due to myocardial stunning in the setting of a dysregulated immune response [11,15].…”