MULTISYSTEM INFLAMMATORY SYNDROME ASSOCIATED WITH COVID-19 AND COMPLICATED BY DESTRUCTIVE APPENDICITIS IN A CHILD
Multisystem inflammatory syndrome in children associated with SARS-CoV-2 occurs in single children in the world (to date, the disease has been described in 600 children, including 6 deaths, about 300 patients in the United States, mainly 5-18 years old, 3 deaths, and about 100 patients in the UK and other European countries) [1, 2]. This rare syndrome shares common features with other childhood inflammatory diseases, including Kawasaki disease, staphylococcal and streptococcal toxic shock syndromes, bacterial sepsis, and macrophage activation syndromes. It can also be manifested by unusual abdominal symptoms with excessive markers of inflammation [1, 6, 7]. Children's multisystem inflammatory syndrome occurs at 1-6 weeks from the onset of COVID disease-19 [1, 4, 5]. The main clinical manifestations of multisystem inflammatory syndrome in children are persistent fever and systemic inflammation involving various organs and systems in the pathological process - the blood system, cardiovascular and nervous systems, gastrointestinal tract, kidneys, skin [1, 2].