Document Type : case report

Authors

1 Department of Infectious Diseases, Children's Medical Center, Tehran University of Medical Sciences, Tehran, Iran

2 Department of pediatric cardiology, Pediatrics Center of Excellence, Children's Medical Center, Tehran University of Medical Sciences, Tehran, Iran

3 Department of Infectious Diseases, Children's Medical Center, Tehran University of Medical Sciences, Tehran, Iran

Abstract

Coronavirus disease (COVID- 19) is affecting millions of people around the world. It is mainly associated with respiratory problems, but extra pulmonary involvement has been described as well (1). During the COVID-19 outbreak, several children developed a severe inflammatory disease, named Multisystem Inflammatory Syndrome (MIS-C). Acute MISC can have life-threatening consequences and requires intensive medical care. It is not known how long-term the results of acute MISC are.  Liver damage, gastrointestinal, endocrine and cardiovascular disorders have been detected [2]. The aim of this article is to consider complications of MIS-C in patients with abdominal pain, due to the fact that despite abdominal pain is also a symptom of MIS-C, it should not distract us from rare complications such as splenic abscess, which as a differential diagnosis can be fatal if left untreated. Herein, we report a COVID-19 patient with no signs of respiratory involvement presented with acute abdomen, and splenic abscess which was seen on the CT-scan later.

Keywords

  1. Thakur, V., Ratho RK, Kumar P, Bhatia SK, Bora I, Mohi GK, Saxena SK, Devi M, Yadav D, Mehariya S., Multi-organ involvement in COVID-19: beyond pulmonary manifestations. Journal of clinical medicine, 2021. 10(3): p. 446.
  2. Jain, U., Effect of COVID-19 on the Organs. Cureus, 2020. 12(8).
  3. Lee MC, Lee CM, Splenic abscess: an uncommon entity with potentially life-threatening evolution. Canadian Journal of Infectious Diseases and Medical Microbiology, 2018. 2018.
  4. Kim, H.S., Cho MS, Hwang SH, Ma SK, Kim SW, Kim NH, Choi KC., Splenic abscess associated with endocarditis in a patient on hemodialysis: a case report. Journal of Korean Medical Science, 2005. 20(2): p. 313-315.
  5. Brook, I. and E. Frazier, Microbiology of liver and spleen abscesses. Journal of medical microbiology, 1998. 47(12): p. 1075-1080.
  6. Altemeier WA, Culbertson WR, Fullen WD, Shook CD, Intra-abdominal abscesses. The American Journal of Surgery, 1973. 125(1): p. 70-79.
  7. AlZarooni, N., AlBaroudi A, AlOzaibi L, AlZoabi O, Splenic abscess as a possible sequel of COVID-19: a case series. Annals of Saudi Medicine, 2021. 41(5): p. 307-311.
  8. Xiang, Q., Feng Z, Diao B, Tu C, Qiao O, Yang H, Zhang Y, Wang G, Wang H, Wang C, Liu L, Wang C, Liu L, Chen R, Wu Y, Chen Y, SARS-CoV-2 induces lymphocytopenia by promoting inflammation and decimates secondary lymphoid organs. Frontiers in immunology, 2021. 12: p. 1292.
  9. Al-Ozaibi, L.S., Alshaikh MO, Makhdoom M, Alzoabi OM, Busharar HA, Keloth TR, Splenic abscess: an unusual presentation of COVID-19? Dubai Medical Journal, 2020. 3(3): p. 115-118.