case_images: PMC8369030_01
case_images: Chest X ray at the day of admission (A) showing diffuse bilateral interstitial markings and obscured contour of the right diaphragm border as a sign of consolidation/pleural effusion and one day after admission (B) showing rapidly evolving bilateral alveolar opacities compatible with pulmonary edema next to the known right-sided lobar infiltrate.
case_images: fped-09-691024-g0001.jpg
case_images: PMC8369030_01_fped-09-691024-g0001.jpg
case_images: F1
case_images: C), tachycardia (150 bpm), hypotension (75/38 mmHg), tachypnea (50/min), and abdominal pain (Table 1). Chest radiography was compatible with right lower lobe pneumonia and moderate pleural effusion (Figure 1A). Empiric antibiotic treatment was started and, as he developed acute respiratory distress in the context of pulmonary edema (Figure 1B) and assumed MIS-C, treatment with intravenous immunoglobulins (IVIG; 2 g/kg) and methylprednisolone (30 mg/kg/day) was initiated.