Case Report
Seizure as Presenting Symptom of Multisystem Inflammatory Syndrome in Children
| | Hospital day 0 | Hospital day 2 | Hospital day 3 | Hospital day 4 | Hospital day 9 | Follow-up visit 1 month after discharge |
| WBC (4.5–13.0 × 10 3/μL) | 15.8 | 20.7 | 20.3 | 28 | 10.7 | 4.7 | WBC differential | Automated | Automated | | | Manual | Automated | Neutrophils (%) | 91 | 92 | | | 77 | 39.1 | Bands | | 17 | | | 13 | | Lymphocytes (%) | 2.4 | 1.9/1 | | | 14 | 50.2 | Monocytes (%) | 6.3 | 4.4/1 | | | 5 | 8.2 | Eosinophils (%) | 0.2 | 1.6/2 | | | 0 | 0.9 | Basophils (%) | 0.1 | 0.1/− | | | 0 | 1.6 | Hemoglobin (11.5–15.3 g/dL) | 9.6 | 8.3 | 13.4 | 7.1 | 11.4 | 12.0 | Platelets (140–440 × 10 3/μL) | 185 | 154 | 130 | 210 | 273 | 293 | Albumin (3.2–5 g/dL) | 3.4 | 3.0 | 2.3 | 2.7 | 2.8 | 4.0 | AST (12–78 U/L) | 11 | 13 | | 7 | 10 | 12 | ALT (15–37 U/L) | 25 | 20 | | 16 | 22 | 9 | Bilirubin, total (0.3–1.2 mg/dL) | 1.1 | 0.9 | | 0.4 | 0.2 | 0.3 | Blood glucose (70–99 mg/dL) | 108 | 113 | 107 | 137 | 109 | 90 | Sodium (135–145 mmol/L) | 129 | 138 | 135 | 140 | 138 | 136 | Potassium (3.5–5.3 mmol/L) | 3.6 | 3.1 | 3.3 | 3.5 | 4.4 | 4 | Chloride (97–110 mmol/L) | 96 | 106 | 106 | 107 | 102 | 107 | Calcium (8.7–12.7 mg/dL) | 8.7 | 8.6 | 7.9 | 8.2 | 8.2 | 9 | Magnesium (1.6–2.4 mg/dL) | 2.2 | | | | 2.1 | | Phosphate (3.5–5.5 mg/dL) | 2.0 | | | | 3.0 | | ESR (<20 mm/Hr) | | 100 | | | | 15 | CRP (<10.0 mg/L) | | >400.0 | 350.1 | 183.5 | 15.3 | 1.4 | Troponin (0.01–0.04 ng/mL) | | 0.05 | 1.86 | 0.4 | 0.16 | <0.015 | BNP (<100 pg/mL) | | 900 | 1310 | 2159 | 118 | 5 | D-dimer (<0.50 mg/L FEU) | | 2.66 | 3.53 | 2.42 | 3.92 | 0.60 | IL-6 (<2.0 pg/mL) | | 30.5 | | | | | Ferritin (11.0–306.0 ng/mL) | | 541 | | | | | Fibrinogen (150–440 mg/dL) | | 687 | 654 | 558 | 237 | | SARS-CoV-2 IgG | | Positive | | | | | SARS-CoV-2 PCR | | Negative | | | | | Creatinine (0.4–1.0 mg/dL) | 0.82 | 1.6 | 0.67 | 0.7 | 0.45 | 0.56 | WBC, CSF (cell/mm3) | | 1 | | | | | RBC, CSF (cell/mm3) | | 147 | | | | | Glucose, CSF (50–80 mg/dL) | | 76 | | | | | Protein, CSF (15–45 mg/dL) | | 26 | | | | | Blood culture | Negative | | | | | | CSF culture | | Negative | | | | |
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Abnormal values are indicated in bold.
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