COVID-19 Associated Multisystem Inflammatory Syndrome in Children Presenting as Acute Necrotizing Pancreatitis with Walled-off Pancreatic Necrosis (WOPN)

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ABSTRACT

Aim and objective

To highlight the importance of looking for multisystem inflammatory syndrome in children (MIS-C) as an etiology of pancreatitis in children.

Background

MIS-C is a newly recognized, potentially serious illness in children related to COVID-19. MIS-C has varied symptoms that affect several organ systems in body. Many children have symptoms resembling Kawasaki disease. some children have signs of excessive blood clotting, gastrointestinal symptoms, kidney injury, or neurological symptoms. To date, very few cases have been reported with acute pancreatitis with SARS CoV-2 infection in children and only two cases with subsequent inflammatory syndrome.

Case description

A 12-year old male child with severe necrotizing pancreatitis managed with IVIg and I/V methylprednisolone, which later on developed walled-off pancreatic necrosis (WOPN) required surgical intervention.

Conclusion

It is important to look for etiology of pancreatitis and in present era MIS-C is important cause. Clinicians should always search for this etiology as management is entirely different from other causes of pancreatitis.

Clinical significance

We describe first case of necrotizing pancreatitis with walled-off pancreatic necrosis requiring surgical intervention associated with MIS-C. Management required IVIg and/ or steroids which is entirely different from pancreatitis associated with other etiologies.

How to cite this article

Vijay P, Gupta RK, Madaan A, et al. COVID-19 Associated Multisystem Inflammatory Syndrome in Children Presenting as Acute Necrotizing Pancreatitis with Walled-off Pancreatic Necrosis (WOPN). Pediatr Inf Dis 2023;5(2):60-62.

Related collections

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Author and article information

Contributors

Priti Vijay: URI : https://orcid.org/0000-0003-1130-116X

Raj Kumar Gupta: URI : https://orcid.org/0000-0002-7177-9184

Journal

Journal ID (publisher-id): PID

Title: Pediatric Infectious Disease

Abbreviated Title: PID

Publisher: Jaypee Brothers Medical Publishers

ISSN (Electronic): 2582-4988

Publication date (Print): April-June 2023

Volume: 5

Issue: 2

Pages: 60-62

Affiliations

[1-4 ]Department of Pediatrics, SMS Medical College, Jaipur, Rajasthan, India

Author notes

Raj Kumar Gupta, Department of Pediatrics, SMS Medical college, Jaipur, Rajasthan, India, Phone: +91 9414054040, e-mail: rkguptadr@ 123456hotmail.com

Article

DOI: 10.5005/jp-journals-10081-1340

SO-VID: caf4c8a5-33a7-4cbc-9640-fa35364d007e

License:

© The Author(s). 2023 Open Access This article is distributed under the terms of the Creative Commons Attribution 4.0 International License ( https://creativecommons.org/licenses/by-nc/4.0/), which permits unrestricted use, distribution, and non-commercial reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver ( http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.

History

Date received : 19 September 2021

Date accepted : 11 November 2021

Date: 30 June 2023

Custom metadata

file-pdf pid-05-060.pdf

ScienceOpen disciplines: Pediatrics

Keywords: Necrotizing pancreatitis,MIS-C,Walled-off pancreatic necrosis

Data availability:

ScienceOpen disciplines: Pediatrics

Keywords: Necrotizing pancreatitis, MIS-C, Walled-off pancreatic necrosis

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