Multisystem Inflammatory Syndrome in Children (MIS-C) Associated with 2019 Novel Coronavirus (SARS-CoV-2) Infection
Table 1
Clinical characteristics of patients.
Patient 1
Patient 2
Patient 3
Patient characteristics
Age (years)
10
6
9
Sex
Female
Female
Male
Race
White Hispanic
White Hispanic
African American
Time to presentation
4 days
4 days
4 days
SARS-CoV-2 testing (RT-PCR)
Positive
Negative RT-PCR; positive SARS-CoV-2 IgG
Positive
Laboratory values
Leucocytes (K/μL) (4.5–13.5)
16.1
4.7
20.3
Platelets (K/μL) (140–440)
252
86
243
Neutrophils (K/μL) (1.30–9)
13.68
4.42
16.04
Lymphocytes (K/μL) (1.90–7.5)
1.45
0.09
2.23
C-reactive protein (mg/L) (<9.9)
202.4
213
284.4
Erythrocyte sedimentation rate (mm/hour) (0–20)
46
56
50
Fibrinogen (mg/dL) (183–503)
640
501
495
D-dimers (mcg/mL) (≤0.5)
2.98
17.82
4.29
Ferritin (ng/ml) (13–145)
203
490
2574
Albumin (g/dL) (3.8–5.4)
3.0
2.5
3.4
Creatinine (mg/dL) (0.6 to 1.3)
0.56
0.62
2.08
Troponin (ng/mL) (0.00–0.030)
0.539
0.274
1.456
B-type natriuretic peptide (pg/mL) (1–100)
396
1213
383
Chest imaging
Not done
Chest CT scan: bilateral infiltrates with small pleural effusion
Chest radiograph: Bilateral infiltrates
Transthoracic echocardiographic findings
Hyperdynamic left ventricular systolic function; shortening fraction of 43.7%
Hyperdynamic left ventricular systolic function; shortening fraction of 40%
Borderline low systolic function with a shortening fraction of 29–30%. No coronary artery ectasia or aneurysms. No evidence of pulmonary hypertension. Trivial pericardial effusion. Electrocardiography (EKG): nonspecific T-wave changes and low-voltage QRS.