id	author	title	date	pages	extension	mime	words	sentences	flesch	summary	cache	txt
cord-321770-g5xcfhnh	de Farias, Emmerson Carlos Franco	MULTISYSTEM INFLAMMATORY SYNDROME IN A CHILD ASSOCIATED WITH CORONAVIRUS DISEASE 19 IN THE BRAZILIAN AMAZON: FATAL OUTCOME IN AN INFANT	2020-08-26		.txt	text/plain	2337	117	42	CASE DESCRIPTION: A seven-month-old infant, with SARS-CoV-2 infection and a history of extreme preterm birth and very low weight at birth, with an initial course of mild respiratory symptoms and abrupt progression to vasoplegic shock, myocarditis and hyperinflammation syndrome, shown by high levels of troponin I, ferritin, CRP, D-dimer and hypoalbuminemia. The diagnosis of MIS-C should be considered among children and adolescents aged from zero to 19 years, with characteristics of typical or atypical Kawasaki disease or shock syndrome, according to the case definition proposed by the World Health Organization (WHO) 8 , described in Chart 1. In this study, we describe a case of MIS-C in an infant infected with SARS-CoV-2, after parental authorization, which had a fatal outcome despite the support received in pediatric intensive care. This case report emphasizes the fatal clinical course of an infant admitted with infection by SARS-CoV-2, associated with significant comorbidity, presenting with hyperinflammatory and multiple organ dysfunction syndromes.	./cache/cord-321770-g5xcfhnh.txt	./txt/cord-321770-g5xcfhnh.txt