Pediatric appendicitis in times of COVID-19: Think MIS-C

Mosaab A Alotaibi; Wejdan Alhumaidan; Abdulnasir Alotaibi; Abdullah M Alotaibi

doi:10.1016/j.epsc.2021.102151

Pediatric appendicitis in times of COVID-19: Think MIS-C

J Pediatr Surg Case Rep. 2022 Feb:77:102151. doi: 10.1016/j.epsc.2021.102151. Epub 2021 Dec 15.

Authors

Mosaab A Alotaibi¹, Wejdan Alhumaidan², Abdulnasir Alotaibi³, Abdullah M Alotaibi⁴

Affiliations

¹ Alfaisal University, Riyadh, Saudi Arabia.
² Division of Infectious Diseases, Department of Pediatrics, King Abdullah Specialist Children's Hospital, Riyadh, Saudi Arabia.
³ Division of Infectious Diseases, Department of Pediatrics, Prince Sultan Military Medical City, Riyadh, Saudi Arabia.
⁴ Department of Pediatric Surgery, Prince Sultan Military Medical City, Riyadh, Saudi Arabia.

Abstract

We report two cases of children presenting with clinical and radiological findings suggestive of acute appendicitis. Both patients underwent appendectomy and were subsequently diagnosed with multisystem inflammatory syndrome in children (MIS-C). Histopathology revealed reactive lymphoid follicle hyperplasia in one patient and acute appendicitis in the other. Both patients required admission to the pediatric intensive care unit after surgery and were treated successfully with immunotherapy for MIS-C.

Keywords: Appendicitis; COVID-19; Multisystem inflammatory syndrome in children (MIS-C).

Publication types

Case Reports