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  • Correspondence on ‘Paediatric multisystem inflammatory syndrome temporally associated with SARS-CoV-2 mimicking Kawasaki disease (Kawa-COVID-19): a multicentre cohort’

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Correspondence
Correspondence on ‘Paediatric multisystem inflammatory syndrome temporally associated with SARS-CoV-2 mimicking Kawasaki disease (Kawa-COVID-19): a multicentre cohort’
  1. Meredith J Ventura1,
  2. Emmanuel Guajardo2,
  3. Eva H Clark2,
  4. Kalpana Bhairavarasu1,
  5. Riyad Y Kherallah3,
  6. Andrew R DiNardo2,4,
  7. Xunyan Ye5,
  8. Pedro A Piedra5,
  9. Robert L Atmar2,5,
  10. Sandeep K Agarwal1
  1. 1 Immunology, Allergy, and Rheumatology, Department of Medicine, Baylor College of Medicine, Houston, Texas, USA
  2. 2 Infectious Diseases, Department of Medicine, Baylor College of Medicine, Houston, Texas, USA
  3. 3 Internal Medicine, Department of Medicine, Baylor College of Medicine, Houston, Texas, USA
  4. 4 Global and Immigrant Health, Department of Pediatrics, Baylor College of Medicine, Houston, Texas, USA
  5. 5 Molecular Virology and Microbiology, Baylor College of Medicine, Houston, Texas, USA
  1. Correspondence to Dr Meredith J Ventura, Immunology, Allergy, and Rheumatology, Baylor College of Medicine Department of Medicine, Houston, TX 77030, USA; meredith.ventura{at}bcm.edu

https://doi.org/10.1136/annrheumdis-2020-218959

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    We read with great interest the article by Pouletty et al reporting 16 paediatric patients presenting with Kawa-COVID-19, an inflammatory syndrome similar to Kawasaki disease (KD) associated with SARS-CoV-2 infection.1 All 16 patients met criteria for complete or incomplete KD. Severe cases in children involving systemic inflammation and multiorgan involvement related to COVID-19 are increasingly being reported. These cases, named multisystem inflammatory syndrome in children (MIS-C) in the USA and pediatric multisystem inflammatory syndrome temporally associated with SARS-CoV-2 in the UK, share features of both KD and macrophage activation syndrome.2–6 In contrast to children, few adults with KD-like cases have been reported.7 8 Herein, we describe an adult who presented with KD-like illness similar to children in the Kawa-COVID-19 cohort 4 weeks following a documented SARS-CoV-2 infection.

    A 38-year-old Hispanic woman developed fever, dyspnoea, cough, anosmia, myalgias and polyarthralgias of the hands, wrists, elbows and knees 4 weeks prior to admission. At that time, nasopharyngeal SARS-CoV-2 PCR was positive. Her symptoms completely resolved within 2 weeks. Five days prior to …

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    Footnotes

    • Twitter @mjventuramd

    • Contributors All authors participated in the clinical care and acquisition of the data, writing and editing of the manuscript, and approval of the final manuscript. All authors agree with the content of the manuscript.

    • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

    • Competing interests None declared.

    • Patient and public involvement Patients and/or the public were involved in the design, or conduct, or reporting, or dissemination plans of this research.

    • Provenance and peer review Not commissioned; internally peer reviewed.

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