Case Report
Copyright ©The Author(s) 2024. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Gastrointest Endosc. Aug 16, 2024; 16(8): 483-488
Published online Aug 16, 2024. doi: 10.4253/wjge.v16.i8.483
Esophageal ulcer and multisystem inflammatory syndrome after COVID-19: A case report
Ni Yang, Zhen Liu, Tong Jin, Hai-Wei Xin, Li Gu, Yue Zheng, Hui-Xing Zhou, Ning Li, Xin-Juan Liu
Ni Yang, Zhen Liu, Tong Jin, Hai-Wei Xin, Ning Li, Xin-Juan Liu, Department of Gastroenterology, Beijing Chao-Yang Hospital, Capital University of Medical Science, Beijing 100020, China
Li Gu, Department of Infectious Diseases and Clinical Microbiology, Beijing Chao-Yang Hospital, Capital University of Medical Science, Beijing 100020, China
Yue Zheng, Department of Surgical Intensive Care Unit, Beijing Chao-Yang Hospital, Capital University of Medical Science, Beijing 100020, China
Hui-Xing Zhou, Department of Hematology, Beijing Chao-Yang Hospital, Capital University of Medical Science, Beijing 100020, China
Author contributions: Yang N, Li N, Liu Z, Jin T and Liu XJ managed the patient; Xin HW performed gastroscopy; Zhou HX performed bone marrow aspiration; Gu L and Zheng Y offered opinions on diagnosis and treatment; Yang N performed manuscript writing; Li N and Liu XJ revised this article; All authors contributed to the paper and approved the submitted version.
Informed consent statement: Informed consent was obtained from the patient.
Conflict-of-interest statement: All authors declare that they have no competing interests.
CARE Checklist (2016) statement: The authors have read the CARE Checklist (2016), and the manuscript was prepared and revised according to the CARE Checklist (2016).
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Ning Li, MM, Attending Doctor, Department of Gastroenterology, Beijing Chao-Yang Hospital, Capital University of Medical Science, No. 8 Gongrentiyuchang South Road, Chaoyang District, Beijing 100020, China. ning0116@163.com
Received: May 21, 2024
Revised: June 26, 2024
Accepted: July 3, 2024
Published online: August 16, 2024
Processing time: 72 Days and 14.2 Hours
Core Tip

Core Tip: Multisystem inflammatory syndrome in adults (MIS-A) is a rare but severe disease occurring several weeks after severe acute respiratory syndrome coronavirus 2 infection. We present a 58-year-old Chinese man diagnosed with MIS-A who had multiple organ damage. The patient had melena and gastroscopy indicated esophageal ulcer and severe esophagitis. His condition improved after prednisone and other supportive treatment. Clinicians should take MIS-A into consideration when they face unexplained inflammation and multiorgan damage. Gastrointestinal involvement in MIS-A is not uncommon. Intestinal involvement predominates, and esophageal involvement is rarely reported.