Diffuse Alveolar Hemorrhage as an Unusual Pulmonary Manifestation of Multisystem Inflammatory Syndrome in Adults

Multisystem inflammatory syndrome–A (MIS-A) is a rare postacute complication of COVID-19 infection in adults. It is a hyperinflammatory condition presenting as cardiogenic and vasogenic shock leading to multiorgan failure. Diffuse alveolar hemorrhage (DAH) is a rare pulmonary condition, with diverse...

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Bibliographic Details
Main Authors: Nang San Hti Lar Seng, Ibolya Csecs, Maria Teresa Medina Rojas, Nidhish Tiwari, Robert Faillace
Format: Article
Language:English
Published: American College of Physicians 2022-10-01
Series:Annals of Internal Medicine: Clinical Cases
Online Access:https://www.acpjournals.org/doi/10.7326/aimcc.2022.0447
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Summary:Multisystem inflammatory syndrome–A (MIS-A) is a rare postacute complication of COVID-19 infection in adults. It is a hyperinflammatory condition presenting as cardiogenic and vasogenic shock leading to multiorgan failure. Diffuse alveolar hemorrhage (DAH) is a rare pulmonary condition, with diverse etiologies ultimately leading to the extravasation of red blood cells into alveoli, resulting in respiratory compromise. The association between MIS-A and DAH has not been reported in the literature. Here, we describe a case of a 33-year-old man who presents with shock and diffuse alveolar hemorrhage in the setting of a highly inflammatory state, consistent with MIS-A.
ISSN:2767-7664