{"id":"https://openalex.org/W3204619871","doi":"https://doi.org/10.1155/2021/6620240","title":"An Intriguing Case of Multisystem Inflammatory Syndrome in an Adult Patient with Remote Infection with COVID-19 and Acute Chlamydia","display_name":"An Intriguing Case of Multisystem Inflammatory Syndrome in an Adult Patient with Remote Infection with COVID-19 and Acute Chlamydia","publication_year":2021,"publication_date":"2021-09-29","ids":{"openalex":"https://openalex.org/W3204619871","doi":"https://doi.org/10.1155/2021/6620240","mag":"3204619871","pmid":"https://pubmed.ncbi.nlm.nih.gov/34631180","pmcid":"https://www.ncbi.nlm.nih.gov/pmc/articles/8494571"},"language":"en","primary_location":{"id":"doi:10.1155/2021/6620240","doi":"https://doi.org/10.1155/2021/6620240","is_oa":true,"landing_page_url":"https://doi.org/10.1155/2021/6620240","pdf_url":"https://downloads.hindawi.com/journals/criid/2021/6620240.pdf","source":{"id":"https://openalex.org/S2764911695","display_name":"Case Reports in Infectious Diseases","issn_l":"2090-6625","issn":["2090-6625","2090-6633"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["cwts-core","doaj","jufo-1","norway-1","poland-20","russia-white-list-3"],"host_organization":"https://openalex.org/P4310319869","host_organization_name":"Hindawi Publishing Corporation","host_organization_lineage":["https://openalex.org/P4310319869","https://openalex.org/P4310320595"],"host_organization_lineage_names":["Hindawi Publishing Corporation","Wiley"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Case Reports in Infectious Diseases","raw_type":"journal-article"},"volume":null,"type":"article","indexed_in":["crossref","doaj","pubmed"],"open_access":{"is_oa":true,"oa_status":"gold","oa_url":"https://downloads.hindawi.com/journals/criid/2021/6620240.pdf","any_repository_has_fulltext":true},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5006456818","display_name":"Madhuri Chandnani","orcid":"https://orcid.org/0000-0003-0622-2424","observed_orcids":["https://orcid.org/0000-0003-0622-2424"]},"institutions":[{"id":"https://openalex.org/I4210162001","display_name":"Lawrence General Hospital","ror":"https://ror.org/05sb4hv45","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I4210162001"]}],"countries":["US"],"is_corresponding":true,"raw_author_name":"Madhuri Chandnani","raw_affiliation_strings":["Department of Hospital Medicine/Internal Medicine, Lawrence General Hospital, Lawrence, MA, USA"],"raw_orcid":"https://orcid.org/0000-0003-0622-2424","affiliations":[{"raw_affiliation_string":"Department of Hospital Medicine/Internal Medicine, Lawrence General Hospital, Lawrence, MA, USA","institution_ids":["https://openalex.org/I4210162001"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5060268556","display_name":"William A. Charini","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I4210162001","display_name":"Lawrence General Hospital","ror":"https://ror.org/05sb4hv45","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I4210162001"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"William A. Charini","raw_affiliation_strings":["Department of Infectious Diseases, Lawrence General Hospital, Lawrence, MA, USA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Infectious Diseases, Lawrence General Hospital, Lawrence, MA, USA","institution_ids":["https://openalex.org/I4210162001"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5080600221","display_name":"Anil Kumar Jha","orcid":"https://orcid.org/0000-0003-0582-0019","observed_orcids":["https://orcid.org/0000-0003-0582-0019"]},"institutions":[{"id":"https://openalex.org/I4210162001","display_name":"Lawrence General Hospital","ror":"https://ror.org/05sb4hv45","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I4210162001"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Anil Jha","raw_affiliation_strings":["Department of Hospital Medicine/Internal Medicine, Lawrence General Hospital, Lawrence, MA, USA"],"raw_orcid":"https://orcid.org/0000-0003-0582-0019","affiliations":[{"raw_affiliation_string":"Department of Hospital Medicine/Internal Medicine, Lawrence General Hospital, Lawrence, MA, USA","institution_ids":["https://openalex.org/I4210162001"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5045941597","display_name":"Chetan Dodhia","orcid":"https://orcid.org/0000-0002-8495-2070","observed_orcids":["https://orcid.org/0000-0002-8495-2070"]},"institutions":[{"id":"https://openalex.org/I4210162001","display_name":"Lawrence General Hospital","ror":"https://ror.org/05sb4hv45","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I4210162001"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Chetan Dodhia","raw_affiliation_strings":["Department of Hospital Medicine/Internal Medicine, Lawrence General Hospital, Lawrence, MA, USA"],"raw_orcid":"https://orcid.org/0000-0002-8495-2070","affiliations":[{"raw_affiliation_string":"Department of Hospital Medicine/Internal Medicine, Lawrence General Hospital, Lawrence, MA, USA","institution_ids":["https://openalex.org/I4210162001"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5104260448","display_name":"Eduardo Hissa Haddad","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I4210162001","display_name":"Lawrence General Hospital","ror":"https://ror.org/05sb4hv45","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I4210162001"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Eduardo Haddad","raw_affiliation_strings":["President of Medical Staff and Department of Nephrology, Lawrence General Hospital, Lawrence, MA, USA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"President of Medical Staff and Department of Nephrology, Lawrence General Hospital, Lawrence, MA, USA","institution_ids":["https://openalex.org/I4210162001"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":1,"corresponding_author_ids":["https://openalex.org/A5006456818"],"corresponding_institution_ids":["https://openalex.org/I4210162001"],"apc_list":{"value":790,"currency":"USD","value_usd":790},"apc_paid":{"value":790,"currency":"USD","value_usd":790},"fwci":0.0,"has_fulltext":true,"cited_by_count":0,"citation_normalized_percentile":{"value":0.22474216,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":null,"biblio":{"volume":"2021","issue":null,"first_page":"1","last_page":"7"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T11892","display_name":"Kawasaki Disease and Coronary Complications","score":0.8476999998092651,"subfield":{"id":"https://openalex.org/subfields/2746","display_name":"Surgery"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T11892","display_name":"Kawasaki Disease and Coronary Complications","score":0.8476999998092651,"subfield":{"id":"https://openalex.org/subfields/2746","display_name":"Surgery"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10041","display_name":"COVID-19 Clinical Research Studies","score":0.14810000360012054,"subfield":{"id":"https://openalex.org/subfields/2725","display_name":"Infectious Diseases"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T11616","display_name":"Autoimmune and Inflammatory Disorders Research","score":0.0010000000474974513,"subfield":{"id":"https://openalex.org/subfields/2720","display_name":"Hematology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/multisystem-inflammatory-syndrome-in-adults","display_name":"multisystem inflammatory syndrome in adults","score":0.9789999723434448},{"id":"https://openalex.org/keywords/covid-19","display_name":"COVID-19 pandemic","score":0.9639999866485596},{"id":"https://openalex.org/keywords/chlamydia-trachomatis","display_name":"Chlamydia trachomatis","score":0.9319999814033508},{"id":"https://openalex.org/keywords/acute-epididymitis","display_name":"acute epididymitis","score":0.7440000176429749},{"id":"https://openalex.org/keywords/sars-cov-2-serology","display_name":"SARS-CoV-2 serology","score":0.6940000057220459},{"id":"https://openalex.org/keywords/cardiogenic-shock","display_name":"cardiogenic shock","score":0.7699999809265137},{"id":"https://openalex.org/keywords/respiratory-failure","display_name":"respiratory failure","score":0.9409999847412109},{"id":"https://openalex.org/keywords/mechanical-ventilation","display_name":"mechanical ventilation","score":0.6779999732971191},{"id":"https://openalex.org/keywords/renal-dysfunction","display_name":"renal dysfunction","score":0.7070000171661377},{"id":"https://openalex.org/keywords/gastrointestinal-dysfunction","display_name":"gastrointestinal dysfunction","score":0.9509999752044678},{"id":"https://openalex.org/keywords/tocilizumab","display_name":"tocilizumab","score":0.9509999752044678},{"id":"https://openalex.org/keywords/doxycycline","display_name":"doxycycline","score":0.9129999876022339},{"id":"https://openalex.org/keywords/anti-sars-cov-2-igg-antibodies","display_name":"anti-SARS-CoV-2 IgG","score":0.6050000190734863}],"concepts":[{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.9022012948989868},{"id":"https://openalex.org/C2780122209","wikidata":"https://www.wikidata.org/wiki/Q153356","display_name":"Chlamydia","level":2,"score":0.8012719750404358},{"id":"https://openalex.org/C203014093","wikidata":"https://www.wikidata.org/wiki/Q101929","display_name":"Immunology","level":1,"score":0.5194270610809326},{"id":"https://openalex.org/C2777910003","wikidata":"https://www.wikidata.org/wiki/Q1707292","display_name":"Asymptomatic","level":2,"score":0.5074724555015564},{"id":"https://openalex.org/C2777391075","wikidata":"https://www.wikidata.org/wiki/Q131065","display_name":"Chlamydia trachomatis","level":2,"score":0.4867429733276367},{"id":"https://openalex.org/C2781090800","wikidata":"https://www.wikidata.org/wiki/Q776030","display_name":"Systemic inflammatory response syndrome","level":3,"score":0.4503346085548401},{"id":"https://openalex.org/C2777914695","wikidata":"https://www.wikidata.org/wiki/Q12192","display_name":"Pneumonia","level":2,"score":0.41182518005371094},{"id":"https://openalex.org/C126322002","wikidata":"https://www.wikidata.org/wiki/Q11180","display_name":"Internal medicine","level":1,"score":0.2764255106449127},{"id":"https://openalex.org/C2778384902","wikidata":"https://www.wikidata.org/wiki/Q183134","display_name":"Sepsis","level":2,"score":0.22998464107513428}],"mesh":[],"locations_count":5,"locations":[{"id":"doi:10.1155/2021/6620240","doi":"https://doi.org/10.1155/2021/6620240","is_oa":true,"landing_page_url":"https://doi.org/10.1155/2021/6620240","pdf_url":"https://downloads.hindawi.com/journals/criid/2021/6620240.pdf","source":{"id":"https://openalex.org/S2764911695","display_name":"Case Reports in Infectious Diseases","issn_l":"2090-6625","issn":["2090-6625","2090-6633"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["cwts-core","doaj","jufo-1","norway-1","poland-20","russia-white-list-3"],"host_organization":"https://openalex.org/P4310319869","host_organization_name":"Hindawi Publishing Corporation","host_organization_lineage":["https://openalex.org/P4310319869","https://openalex.org/P4310320595"],"host_organization_lineage_names":["Hindawi Publishing Corporation","Wiley"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Case Reports in Infectious Diseases","raw_type":"journal-article"},{"id":"pmh:oai:europepmc.org:7386645","doi":null,"is_oa":true,"landing_page_url":"http://europepmc.org/pmc/articles/PMC8494571","pdf_url":null,"source":{"id":"https://openalex.org/S4306400806","display_name":"Europe PMC (PubMed Central)","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1303153112","host_organization_name":"European Bioinformatics Institute","host_organization_lineage":["https://openalex.org/I1303153112"],"host_organization_lineage_names":[],"type":"repository"},"license":"other-oa","license_id":"https://openalex.org/licenses/other-oa","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"","raw_type":"Text"},{"id":"pmh:oai:pubmedcentral.nih.gov:8494571","doi":null,"is_oa":true,"landing_page_url":"https://www.ncbi.nlm.nih.gov/pmc/articles/8494571","pdf_url":null,"source":{"id":"https://openalex.org/S2764455111","display_name":"PubMed Central","issn_l":null,"issn":null,"is_oa":true,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Case Rep Infect Dis","raw_type":"Text"},{"id":"pmid:34631180","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/34631180","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Case reports in infectious diseases","raw_type":"Case Reports"},{"id":"pmh:oai:doaj.org/article:379b3df655524f6388207486cc65d6aa","doi":null,"is_oa":true,"landing_page_url":"https://doaj.org/article/379b3df655524f6388207486cc65d6aa","pdf_url":null,"source":{"id":"https://openalex.org/S4306401280","display_name":"DOAJ (DOAJ: Directory of Open Access Journals)","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":null,"host_organization_name":null,"host_organization_lineage":[],"host_organization_lineage_names":[],"type":"repository"},"license":"cc-by-sa","license_id":"https://openalex.org/licenses/cc-by-sa","version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":"Case Reports in Infectious Diseases, Vol 2021 (2021)","raw_type":"article"}],"best_oa_location":{"id":"doi:10.1155/2021/6620240","doi":"https://doi.org/10.1155/2021/6620240","is_oa":true,"landing_page_url":"https://doi.org/10.1155/2021/6620240","pdf_url":"https://downloads.hindawi.com/journals/criid/2021/6620240.pdf","source":{"id":"https://openalex.org/S2764911695","display_name":"Case Reports in Infectious Diseases","issn_l":"2090-6625","issn":["2090-6625","2090-6633"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["cwts-core","doaj","jufo-1","norway-1","poland-20","russia-white-list-3"],"host_organization":"https://openalex.org/P4310319869","host_organization_name":"Hindawi Publishing Corporation","host_organization_lineage":["https://openalex.org/P4310319869","https://openalex.org/P4310320595"],"host_organization_lineage_names":["Hindawi Publishing Corporation","Wiley"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Case Reports in Infectious Diseases","raw_type":"journal-article"},"sustainable_development_goals":[{"score":1.0,"display_name":"Good health and well-being","id":"https://metadata.un.org/sdg/3"}],"study_designs":[{"display_name":"Case Report","id":"https://openalex.org/study-designs/case-report"}],"awards":[],"funders":[],"has_content":{"grobid_xml":true,"pdf":true},"content_urls":{"pdf":"https://content.openalex.org/works/W3204619871.pdf","grobid_xml":"https://content.openalex.org/works/W3204619871.grobid-xml"},"referenced_works_count":37,"referenced_works":["https://openalex.org/W1965245721","https://openalex.org/W1969926043","https://openalex.org/W1986461934","https://openalex.org/W1991872972","https://openalex.org/W2078477041","https://openalex.org/W2087722508","https://openalex.org/W2110525219","https://openalex.org/W2117046295","https://openalex.org/W2117378528","https://openalex.org/W2171546232","https://openalex.org/W2761449663","https://openalex.org/W2921036776","https://openalex.org/W3001118548","https://openalex.org/W3002539152","https://openalex.org/W3016473145","https://openalex.org/W3022970339","https://openalex.org/W3023217380","https://openalex.org/W3023497896","https://openalex.org/W3023564401","https://openalex.org/W3024521558","https://openalex.org/W3024822200","https://openalex.org/W3025339089","https://openalex.org/W3031401090","https://openalex.org/W3032902005","https://openalex.org/W3036229308","https://openalex.org/W3036398841","https://openalex.org/W3038003713","https://openalex.org/W3039084777","https://openalex.org/W3040117178","https://openalex.org/W3041319886","https://openalex.org/W3042270788","https://openalex.org/W3089911709","https://openalex.org/W3126451306","https://openalex.org/W3139001345","https://openalex.org/W3164027096","https://openalex.org/W3166141498","https://openalex.org/W3171562490"],"related_works":["https://openalex.org/W4225587576","https://openalex.org/W3207897428","https://openalex.org/W3175064390","https://openalex.org/W4399952497","https://openalex.org/W4213022620","https://openalex.org/W4308864088","https://openalex.org/W4223647002","https://openalex.org/W3155005311","https://openalex.org/W4323312494","https://openalex.org/W3145785661"],"abstract_inverted_index":{"Introduction.":[0],"COVID-19":[1,196],"is":[2],"associated":[3],"with":[4,12,56,70,81,129,134,181,234],"a":[5,21,106,175],"broad":[6],"range":[7],"of":[8,23,113,177,190,207,216,231,239],"immune":[9,162],"inflammatory":[10,26,68,237],"phenomena,":[11],"different":[13],"manifestations":[14],"in":[15,28,36,141,144,154,187,198,213,247],"adults":[16],"and":[17,76,84,86,131],"children.":[18],"We":[19,148,173],"describe":[20],"case":[22,176,219],"COVID-19-related":[24],"multisystem":[25,67,236],"syndrome":[27,96,238,244],"an":[29,46,160,178,242],"adult":[30,179,229,248],"(MIS-A),":[31],"similar":[32],"to":[33,60,66,170,204],"that":[34,64,150,164],"described":[35],"children":[37],"(MIS-C),":[38],"which":[39],"may":[40,157,245],"have":[41,158],"been":[42],"set":[43],"off":[44],"by":[45,100,167],"unrelated":[47],"secondary":[48,59],"infection.":[49,124],"Case.":[50],"A":[51],"27-year-old":[52],"male":[53],"patient":[54,126,180],"presented":[55],"acute":[57,61,94,182],"epididymitis":[58],"Chlamydia":[62,138,183],"infection":[63,153,185],"progressed":[65],"failure":[69,72],"respiratory":[71,95],"requiring":[73],"endotracheal":[74],"intubation":[75],"mechanical":[77],"ventilation,":[78],"cardiogenic":[79],"shock":[80],"heart":[82],"failure,":[83],"gastrointestinal":[85],"renal":[87],"dysfunction.":[88],"He":[89],"tested":[90],"negative":[91],"for":[92,117,136,224,228],"severe":[93],"coronavirus":[97],"2":[98],"(SARS-CoV-2)":[99],"reverse":[101],"transcriptase-polymerase":[102],"chain":[103],"reaction":[104],"on":[105],"nasopharyngeal":[107],"swab":[108],"thrice":[109],"within":[110],"4":[111],"days":[112],"presentation,":[114],"but":[115],"positive":[116],"SARS-CoV-2":[118],"immunoglobulin":[119],"G":[120],"antibody":[121],"signifying":[122],"remote":[123],"The":[125],"was":[127,165],"treated":[128],"tocilizumab":[130],"steroids,":[132],"along":[133],"doxycycline":[135],"concurrent":[137],"infection,":[139],"resulting":[140,197],"dramatic":[142],"improvement":[143],"all":[145],"organ":[146],"function.":[147],"suspect":[149],"C.":[151],"trachomatis":[152,184],"this":[155],"instance":[156],"triggered":[159],"aberrant":[161],"response":[163],"shaped":[166],"prior":[168],"exposure":[169],"SARS-CoV-2.":[171],"Conclusion.":[172],"present":[174],"occurring":[186,212],"the":[188,205,214,222,235],"wake":[189],"asymptomatic":[191],"(or":[192],"at":[193],"least":[194],"unrecognized)":[195],"MIS-A.":[199],"Clinicians":[200],"should":[201],"be":[202],"alert":[203],"possibility":[206],"other":[208],"such":[209],"unusual":[210],"reactions":[211],"aftermath":[215],"COVID-19.":[217],"This":[218],"also":[220],"highlights":[221],"importance":[223],"clinicians":[225],"who":[226],"care":[227],"patients":[230],"being":[232],"familiar":[233],"children,":[240],"as":[241],"identical":[243],"occur":[246],"patients.":[249]},"counts_by_year":[],"updated_date":"2026-10-28T10:33:24.094632","created_date":"2021-10-11T00:00:00"}
