What’s Your Diagnosis? COVID-19, MIS-C, and Long COVID in Pediatric Patients

Welcome to this month’s What’s Your Diagnosis Challenge!

But before we begin, check to see if you got the previous case on Acute Epistaxis: A Comprehensive Overview in the Acute Care Setting right.

Case Presentation: COVID-19, MIS-C, and Long COVID in Pediatric Patients: An Update  

A 14-year-old boy with no pre-existing medical conditions presents with fever, diarrhea, and abdominal pain for 4 days…

• A diffuse maculopapular rash started 2 days ago, and bilateral eye redness started today. The boy is reporting weakness and looks mildly dehydrated
• The boy’s vital signs are: temperature, 38.6°C; heart rate, 134 beats/min; blood pressure, 100/45 mm Hg; respiratory rate, 20 breaths/min; and pulse oximetry, 98%. He has not traveled out of the country. He reports a diagnosis of COVID-19 3.5 weeks ago, along with other members of his family.
• What is your initial management of this patient? Is the COVID-19 history relevant?

Make your best guess, and check back next month for the case conclusion!

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EB Medicine