First diagnosis of multisystem inflammatory syndrome in children (MIS-C): an analysis of PoCUS findings in the ED

The Ultrasound Journal

Table 1 PoCUS and X-rays findings, reason for ED admission and NT-pro BNP value at admission in children with MIS-C

	Patient 1	Patient 2	Patient 3	Patient 4	Patient 5	Patient 6	Patient 7	Patient 8	Patient 9	Patient 10	Patient 11
Reason for ED admission	Fever, abdominal pain	Fever, abdominal pain, vomiting and diarrhea	Fever, abdominal pain, vomiting	Fever, abdominal pain, vomiting, conjunctivitis	Fever, headache, abdominal pain, vomiting and diarrhea	Fever, abdominal pain, vomiting and diarrhea	Fever, abdominal pain, vomiting and diarrhea, rash, conjunctivitis	Fever, conjunctivitis	Fever, neck and scrotal pain, headache, fatigue	Fever, cough, abdominal pain, rash	Fever, headache, chest pain
NT-proBNP value (ng/L)	NA	NA	12,571	31,820	9211	557	976	1050	10,097	15,284	1452

PoCUS	All	Patient 1	Patient 2	Patient 3	Patient 4	Patient 5	Patient 6	Patient 7	Patient 8	Patient 9	Patient 10	Patient 11
Copetti LUS protocol
Pleural line irregularities	11/11 (100%)	Bilateral	Bilateral	Bilateral	Bilateral	Bilatateral	Bilateral	Bilateral	Bilateral	Bilateral	Bilateral	Bilateral
Vertical artifacts	11/11 (100%)	Yes	Yes	Yes	Yes	Yes	Yes	Yes	Yes	Yes	Yes	Yes
White lung	2/11 (18%)	No	No	Yes	No	No	No	No	No	Yes	No	No
Consolidation	4/11 (36%)	No	No	Yes	Yes	Yes	No	No	No	Yes	No	No
Pleural effusion	6/11 (54%)	No	No	Yes	Yes	No	Yes	No	No	Yes	Yes	Yes
RUSH protocol
Cardiac Kinetic alteration	5/11 (45%)	No	No	Yes	Yes	Yes	No	Yes	No	Yes	No	No
Pericardial effusion	3/11 (27%)	No	No	Yes	No	No	No	Yes	No	Yes	No	No
IVC dilatation	3/11 (27%)	No	No	Yes	No	Yes	No	No	No	Yes	No	No
Peritoneal fluid	6/11 (54%)	No	Yes	Yes	Yes	Yes	No	No	No	Yes	No	Yes
Chest X Ray		Normal	Normal	Perihilar interstitial thickening, cardiomegaly	Consolidation, perihilar interstitial thickening, cardiomegaly	Normal	NA	NA	Atelectasis	Normal	Normal	Pleural effusion, cardiomegaly