Abstract
Acute renal infarction in pediatric patients is a rare occurrence, usually associated with cardiac anomalies, hypercoagulable state, diseases with local thrombotic potential, systemic infections, or autoimmune diseases. Following the COVID-19 pandemic, the medical scientific community established diagnostic criteria for PIMS-TS (Pediatric Inflammatory Multisystem Syndrome – temporally associated with SARS-CoV-2), also known as multisystem inflammatory syndrome in children (MIS-C), a condition found in children exposed to the new type of coronavirus. Three clinical phenotypes have been established: toxic shock syndrome, Kawasaki-like disease, and undefined inflammatory presentation. Cardiovascular manifestations were considered prominent in all clinical scenarios, while renal and neurologic involvement played a secondary role. There is, however, mounting evidence suggesting that MIS-C is in fact a miscellaneous pathology and that a focus change is warranted.
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