An Unusual Presentation of COVID-19 Associated Multisystem Inflammatory Syndrome in Adults (MIS-A) in a Pregnant Woman

Table 1

Summary of investigations.

	Day 0	Day 3	Day 7	Reference ranges
Hemoglobin (g/dL)	11.4	9.3	9.2	11.0–16.0
Platelets (10^3/μL)	120	187	377	150-450
White blood cells (10^3/μL)	13.6	18	19	4-10
C reactive protein (mg/dL)	321	291	43.4	<6
Erythrocyte sedimentation rate (ESR) 1st Hr in mm	98	120
Procalcitonin (ng/mL)		2.03		<0.5
Serum ferritin (ng/mL)		171.5		12-190
High sensitive D-dimers (ng/mL)		1249		<250
High sensitive troponin I (ng/mL)	0.401	0.045		<0.015
Brain natriuretic peptide (BNP) (pg/mL)		335		<28
Elevated liver enzymes	No	No
Serum creatinine (micromol/L)	56	62	49	49-95
ECG	Sinus tachycardia	Sinus tachycardia	Sinus rhythm
2D echo	Grade two diastolic dysfunction with an ejection fraction of 50% with a mild pericardial effusion, possible myocarditis	EF 50%, thin rim of effusion	Good biventricular function, no trans thoracic echo evidence of pulmonary embolism; Ejection fraction 55-60%
Chest X-ray	Mild left pleural effusion	Improved