Author: Fiona Mendes / Editor: Yasmin Sultan / Reviewer: Fiona Mendes / Codes: / Published: 23/07/2020 / Reviewed: 27/03/2025
A 10-year-old girl presents to your paediatric emergency resuscitation bay with fever, generalised abdominal aches, vomiting and diarrhoea for the past five days. Over the past 24-hours she developed a maculopapular, erythematous rash to her face, hands, arms and feet and has bilateral red conjunctiva. She is peripherally shut down, with dry erythematous cracked lips. She is hypotensive and has signs of shock.
She lives with her parents. Two weeks ago her father had a cough, sore throat, fever, loss of taste and generalised muscle aches for six days. He had tested positive for COVID-19 and fully recovered.
In the Emergency Department (ED), this child receives fluid resuscitation and requires inotropic support. You suspect this child has paediatric inflammatory multisystem syndrome temporally associated with severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (PIMS-TS).
