Extracorporeal Membrane Oxygenation in an Adolescent with Multisystem Inflammatory Syndrome in Children

Detalhes bibliográficos
Autor(a) principal: Gago, Cristina
Data de Publicação: 2023
Outros Autores: Lorenzo, Cristina, Pinto, Sara, R. Sousa, Ana, Camilo, Cristina, Abecasis, Francisco
Tipo de documento: Artigo
Idioma: eng
Título da fonte: Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
Texto Completo: https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/19053
Resumo: Multisystem inflammatory syndrome in children is a rare and potentially life-threatening disease that is associated with SARS-CoV-2 infection, characterized by hyperinflammation and multiorgan involvement. Cardiovascular involvement is common, including myocardial dysfunction often leading to cardiogenic shock. We present the case of a 17-year-old boy with fever, odynophagia, maculopapular rash and abdominal pain who developed a cardiogenic shock. Due to progressive deterioration of cardiac function despite optimized vasoactive support, veno-arterial extracorporeal membrane oxygenation support was initiated 12 hours after admission, with successful decannulation after seven days and discharge after 23 days, with normal cardiac function. The patient received corticosteroids and intravenous immunoglobulin. Early recognition and intensive care support are crucial for ensuring a successful outcome in severe cases of multisystem inflammatory syndrome. In cases of severe cardiogenic shock, extracorporeal membrane oxygenation support can be critical for survival and rapid recovery.
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spelling Extracorporeal Membrane Oxygenation in an Adolescent with Multisystem Inflammatory Syndrome in ChildrenOxigenação por Membrana Extracorporal num Adolescente com Síndrome Inflamatória Multissistémica PediátricaAdolescentCOVID-19/complicationsExtracorporeal Membrane OxygenationSARS-CoV-2Shock, CardiogenicSystemic Inflammatory Response SyndromeAdolescenteChoque CardiogénicoCOVID-19/complicaçõesOxigenação por Membrana ExtracorporalSARS-CoV-2Síndrome de Resposta Inflamatória SistémicaMultisystem inflammatory syndrome in children is a rare and potentially life-threatening disease that is associated with SARS-CoV-2 infection, characterized by hyperinflammation and multiorgan involvement. Cardiovascular involvement is common, including myocardial dysfunction often leading to cardiogenic shock. We present the case of a 17-year-old boy with fever, odynophagia, maculopapular rash and abdominal pain who developed a cardiogenic shock. Due to progressive deterioration of cardiac function despite optimized vasoactive support, veno-arterial extracorporeal membrane oxygenation support was initiated 12 hours after admission, with successful decannulation after seven days and discharge after 23 days, with normal cardiac function. The patient received corticosteroids and intravenous immunoglobulin. Early recognition and intensive care support are crucial for ensuring a successful outcome in severe cases of multisystem inflammatory syndrome. In cases of severe cardiogenic shock, extracorporeal membrane oxygenation support can be critical for survival and rapid recovery.A síndrome inflamatória multissistémica em crianças é uma doença rara e potencialmente fatal, e que está associada à infeção por SARS-CoV-2 e caracterizada por hiperinflamação e pelo envolvimento de múltiplos órgãos. As manifestações cardiovasculares são comuns, incluindo a disfunção miocárdica, podendo apresentar-se como choque cardiogénico. Apresentamos o caso de um rapaz de 17 anos com febre, odinofagia, exantema maculopapular e dor abdominal, que desenvolveu choque cardiogénico. Apesar do suporte vasoativo otimizado, verificou-se a deterioração progressiva da função cardíaca, pelo que 12 horas após a admissão se iniciou o suporte através de oxigenação por membrana extracorporal venoarterial. O doente foi descanulado com sucesso após sete dias e teve alta após 23 dias, com função cardíaca normal, tendo realizado tratamento com corticosteroides e imunoglobulina intravenosa. O reconhecimento precoce e o suporte em cuidados intensivos são cruciais para garantir o tratamento adequado em casos de síndrome inflamatória multissistémica. O suporte por oxigenação por membrana extracorporal pode ser fundamental para a sobrevivência e rápida recuperação perante choque cardiogénico grave.Ordem dos Médicos2023-04-26info:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleapplication/pdfhttps://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/19053Acta Médica Portuguesa; Vol. 36 No. 11 (2023): November; 740-745Acta Médica Portuguesa; Vol. 36 N.º 11 (2023): Novembro; 740-7451646-07580870-399Xreponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãoinstacron:RCAAPenghttps://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/19053https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/19053/15116Direitos de Autor (c) 2023 Acta Médica Portuguesainfo:eu-repo/semantics/openAccessGago, CristinaLorenzo, CristinaPinto, SaraR. Sousa, AnaCamilo, CristinaAbecasis, Francisco2023-11-05T03:00:34Zoai:ojs.www.actamedicaportuguesa.com:article/19053Portal AgregadorONGhttps://www.rcaap.pt/oai/openaireopendoar:71602024-03-19T17:50:29.706598Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãofalse
dc.title.none.fl_str_mv Extracorporeal Membrane Oxygenation in an Adolescent with Multisystem Inflammatory Syndrome in Children
Oxigenação por Membrana Extracorporal num Adolescente com Síndrome Inflamatória Multissistémica Pediátrica
title Extracorporeal Membrane Oxygenation in an Adolescent with Multisystem Inflammatory Syndrome in Children
spellingShingle Extracorporeal Membrane Oxygenation in an Adolescent with Multisystem Inflammatory Syndrome in Children
Gago, Cristina
Adolescent
COVID-19/complications
Extracorporeal Membrane Oxygenation
SARS-CoV-2
Shock, Cardiogenic
Systemic Inflammatory Response Syndrome
Adolescente
Choque Cardiogénico
COVID-19/complicações
Oxigenação por Membrana Extracorporal
SARS-CoV-2
Síndrome de Resposta Inflamatória Sistémica
title_short Extracorporeal Membrane Oxygenation in an Adolescent with Multisystem Inflammatory Syndrome in Children
title_full Extracorporeal Membrane Oxygenation in an Adolescent with Multisystem Inflammatory Syndrome in Children
title_fullStr Extracorporeal Membrane Oxygenation in an Adolescent with Multisystem Inflammatory Syndrome in Children
title_full_unstemmed Extracorporeal Membrane Oxygenation in an Adolescent with Multisystem Inflammatory Syndrome in Children
title_sort Extracorporeal Membrane Oxygenation in an Adolescent with Multisystem Inflammatory Syndrome in Children
author Gago, Cristina
author_facet Gago, Cristina
Lorenzo, Cristina
Pinto, Sara
R. Sousa, Ana
Camilo, Cristina
Abecasis, Francisco
author_role author
author2 Lorenzo, Cristina
Pinto, Sara
R. Sousa, Ana
Camilo, Cristina
Abecasis, Francisco
author2_role author
author
author
author
author
dc.contributor.author.fl_str_mv Gago, Cristina
Lorenzo, Cristina
Pinto, Sara
R. Sousa, Ana
Camilo, Cristina
Abecasis, Francisco
dc.subject.por.fl_str_mv Adolescent
COVID-19/complications
Extracorporeal Membrane Oxygenation
SARS-CoV-2
Shock, Cardiogenic
Systemic Inflammatory Response Syndrome
Adolescente
Choque Cardiogénico
COVID-19/complicações
Oxigenação por Membrana Extracorporal
SARS-CoV-2
Síndrome de Resposta Inflamatória Sistémica
topic Adolescent
COVID-19/complications
Extracorporeal Membrane Oxygenation
SARS-CoV-2
Shock, Cardiogenic
Systemic Inflammatory Response Syndrome
Adolescente
Choque Cardiogénico
COVID-19/complicações
Oxigenação por Membrana Extracorporal
SARS-CoV-2
Síndrome de Resposta Inflamatória Sistémica
description Multisystem inflammatory syndrome in children is a rare and potentially life-threatening disease that is associated with SARS-CoV-2 infection, characterized by hyperinflammation and multiorgan involvement. Cardiovascular involvement is common, including myocardial dysfunction often leading to cardiogenic shock. We present the case of a 17-year-old boy with fever, odynophagia, maculopapular rash and abdominal pain who developed a cardiogenic shock. Due to progressive deterioration of cardiac function despite optimized vasoactive support, veno-arterial extracorporeal membrane oxygenation support was initiated 12 hours after admission, with successful decannulation after seven days and discharge after 23 days, with normal cardiac function. The patient received corticosteroids and intravenous immunoglobulin. Early recognition and intensive care support are crucial for ensuring a successful outcome in severe cases of multisystem inflammatory syndrome. In cases of severe cardiogenic shock, extracorporeal membrane oxygenation support can be critical for survival and rapid recovery.
publishDate 2023
dc.date.none.fl_str_mv 2023-04-26
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
format article
status_str publishedVersion
dc.identifier.uri.fl_str_mv https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/19053
url https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/19053
dc.language.iso.fl_str_mv eng
language eng
dc.relation.none.fl_str_mv https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/19053
https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/19053/15116
dc.rights.driver.fl_str_mv Direitos de Autor (c) 2023 Acta Médica Portuguesa
info:eu-repo/semantics/openAccess
rights_invalid_str_mv Direitos de Autor (c) 2023 Acta Médica Portuguesa
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
dc.publisher.none.fl_str_mv Ordem dos Médicos
publisher.none.fl_str_mv Ordem dos Médicos
dc.source.none.fl_str_mv Acta Médica Portuguesa; Vol. 36 No. 11 (2023): November; 740-745
Acta Médica Portuguesa; Vol. 36 N.º 11 (2023): Novembro; 740-745
1646-0758
0870-399X
reponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
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instacron:RCAAP
instname_str Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação
instacron_str RCAAP
institution RCAAP
reponame_str Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
collection Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
repository.name.fl_str_mv Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação
repository.mail.fl_str_mv
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