id author title date pages extension mime words sentences flesch summary cache txt cord-264333-mgeicojq Chiotos, Kathleen Multisystem Inflammatory Syndrome in Children During the Coronavirus 2019 Pandemic: A Case Series 2020-05-28 .txt text/plain 2490 165 51 On 6 May 2020, authors from London, England, reported clinical and laboratory features of a cluster of 8 children with hyperinflammatory shock, all of whom tested positive for SARS-CoV-2 antibodies [1] . To evaluate for incomplete Kawasaki disease/Kawasaki disease shock syndrome, an echocardiogram was performed on HD 6 that demonstrated normal biventricular systolic function (shortening fraction [SF], 38%; normal, 28%-45%) but identified right coronary artery dilation (Boston z score, 3.15). A 12-year-old male with no chronic medical conditions presented to an outside facility with a 6-day history of fever, Nasopharyngeal SARS-CoV-2 PCR was negative. Her lowest documented blood pressure within 24 hours of her PICU admission was 92/50 mm Hg. A repeat SARS-CoV-2 nasopharyngeal PCR was positive with a high cycle threshold (37.54). Further, for some patients, fever and gastrointestinal symptoms preceded the development of other "classic" clinical features of Kawasaki disease, including rash, conjunctivitis, mucous membrane changes, and extremity edema, which were variably present in our cohort. ./cache/cord-264333-mgeicojq.txt ./txt/cord-264333-mgeicojq.txt