IntroductionThe Severe Acute Respiratory Syndrome Coronavirus-2 (SARS-CoV-2) / Coronavirus Disease 2019 (COVID-19) pandemic poses numerous challenges to the medical community around the world 1 . The classical respiratory symptoms associated with SARS-CoV-2 include rhinorrhoea, sore throat, cough and shortness of beath 2,3 . However, diagnosing some rare manifestations of SARS-CoV-2 is challenging. Multisystem Inflammatory Syndrome in Children (MIS-C) is one such complication, where a delayed diagnosis could be fatal. Although MIS-C was first described in the UK in April 2020, the disease has not been reported from Sri Lanka until recently 4 . We report three unrelated patients with MIS-C in whom the diagnosis of SARS-CoV-2 was made after developing MIS-C.
Case 1A 9-year-old boy presented with high fever with chills for seven days, arthralgia, myalgia, headache, and reduced urine output. On the day of admission, he complained of severe abdominal pain. There was no history of muddy exposure, outside food ingestion or recent travel history. Contact history of SARS-CoV-2 was not disclosed, and the SARS-CoV-2 rapid antigen test (RAT) was negative. On _________________________________________
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