case_images: PMC9458478_01
case_images: Chest X-ray of the patient showing massive right side pleural effusion. A Pleural effusion after the third day of pleurocentesis on the first presentation. B Reappearance of pleural effusion 4 weeks after first presentation
case_images: 43066_2022_214_Fig1_HTML.jpg
case_images: PMC9458478_01_43066_2022_214_Fig1_HTML.jpg
case_images: Fig1
case_images: Urgent pigtail insertion in the right pleural space was done with drainage of 4 l of pleural fluid (Fig. 1A) and replacement with IV albumin 20% (5 cc/kg). Right side pleural effusion recollected again (Fig. 1B) associated with worsening hypoxia.
case_images: Chest CT of the patient. A At admission on the first presentation. B after 3 days of appearance of respiratory manifestations
case_images: 43066_2022_214_Fig2_HTML.jpg
case_images: PMC9458478_01_43066_2022_214_Fig2_HTML.jpg
case_images: Fig2
case_images: It was suggestive of viral pneumonia mostly COVID-19 (COVID-19-Reporting and Data System (CO-RADS) V) (Fig. 2).
case_images: Skin lesions in the patient with MIS-C. Multiple skin lesions appeared in the form of petechiae (D) and ecchymotic patches (A &C) one of them shows ulceration (B)
case_images: 43066_2022_214_Fig3_HTML.jpg
case_images: PMC9458478_01_43066_2022_214_Fig3_HTML.jpg
case_images: Fig3
case_images: On the 4th week, multiple skin lesions appeared in the form of vasculitic rash, petechiae, and ecchymotic patches (one of them showed ulceration) (Fig. 3).
case_images: Flow chart showing the progression of the case
case_images: 43066_2022_214_Fig4_HTML.jpg
case_images: PMC9458478_01_43066_2022_214_Fig4_HTML.jpg
case_images: Fig4
case_images: The patient returned to isolation where progressive deterioration of the respiratory, liver, kidney, and cardiac functions occurred until he passed away after 1 month of admission (Fig. 4).