Prominent rash and multisystem inflammatory syndrome in a 29-year-old patient with COVID-19: a case report

J Med Case Rep. 2021 Dec 13;15(1):590. doi: 10.1186/s13256-021-03199-1.

Abstract

Background: Adult patients with coronavirus disease present primarily with respiratory symptoms, but children and some adults may display a more systemic inflammatory syndrome with rash, fever, mucosal changes, and elevated inflammatory biomarkers.

Case presentation: Here, we report the case of a 29-year-old Hispanic patient presenting with significant rash and multisystem inflammation. We describe his clinical course, review dermatological manifestations of coronavirus disease, and summarize the pathophysiology of coronavirus disease-associated multisystem inflammation.

Conclusion: This case should alert physicians to the atypical nature of presenting rash with minimal respiratory symptoms in coronavirus disease.

Keywords: COVID-19; Case report; MIS-A; MIS-C; Rash.

Publication types

  • Case Reports

MeSH terms

  • Adult
  • COVID-19* / complications
  • Child
  • Exanthema* / etiology
  • Fever / etiology
  • Humans
  • SARS-CoV-2
  • Systemic Inflammatory Response Syndrome

Supplementary concepts

  • pediatric multisystem inflammatory disease, COVID-19 related