report of the association between multisystem inflammatory syndrome and severe myocarditis

Introduction: the people worldwide have been affected by severe acute respiratory syndrome-coronavirus 2 (sars-cov-2) infection since its appearance in december, 2019. kawasaki disease-like hyperinflammatory shock associated with sars-cov-2 infection in previously healthy children has been reported in the literature, which is now referred to as a multisystem inflammatory syndrome in children (mis-c). some aspects of mis-c are similar to those of kawasaki disease, toxic shock syndrome, secondary hemophagocytic syndrome, and macrophage activation syndrome. case presentation: this study reported an 11-year-old boy with mis-c presented with periorbital and peripheral edema, abdominal pain, elevated liver enzymes, severe right pleural effusion, moderate ascites, and severe failure of right and left ventricles. conclusions: due to the increasing number of reported cases of critically ill patients afflicted with mis-c and its life-threatening complications, it was recommended that further studies should be carried out in order to provide screening tests for myocardial dysfunction. adopting a multidisciplinary approach was found inevitable.