Browsing by Author "de Abrew, G."
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Item Button battery ingestion in a child: is it always necessary to perform urgent endoscopy(Batticaloa Medical Association, 2023) Dayasiri, K.; de Abrew, G.; Thadchanamoorthy, V.Item Multisystem inflammatory syndrome in children: A Sri Lankan case series(Sri Lanka College of Paediatricians, 2021) Sandakelum, U.; Samararathna, R.; Pathiraja, H.; de Silva, L.; Balasubramaniam, R.; de Abrew, G.; Adihetty, D.; Fernando, M.; Randeny, S.; Mettananda, S.No Abstract AvailableItem A rare case of abrupt onset vascular lump in the newborn; neonatal kaposiform haemangioendothelioma(Batticaloa Medical Association, 2023) Dayasiri, K.; de Abrew, G.; Samaraweera, S.; Thadchanamoorthy, V.Item Tender cervical lymphadenitis as a herald of multi-system inflammatory syndrome in COVID-19 infection of children and adolescents: a report of two cases(BioMed Central, London, 2022) Wanninayake, L.; de Abrew, G.; Logeshwaran, D.; Weerasinghe, C.; Gowinna, P.; Mettananda, S.; Premaratna, R.Background: Post-COVID-19 multisystem inflammatory syndrome (MIS) has been increasingly recognized but fever with isolated tender cervical lymphadenitis as the initial presentation has been rarely reported. We present 2 female patients one a child and the other an adolescent. Case presentation: Case 1 was a 13-year-old girl who presented with tender cervical lymphadenopathy and fever 3-weeks post-COVID-19, and then developed features of MIS 5 days later. Case 2, also female, was 18 years old. She had no history of COVID-19 infection or immunization but had a serologic diagnosis of COVID-19. She similarly presented with fever and tender cervical lymphadenopathy, and then progressed rapidly to develop features of MIS. Both patients responded well to treatment with immunosuppressants and intravenous immunoglobulin. Conclusion: Tender cervical lymphadenopathy could be the herald of multi-system inflammatory syndrome following COVID-19 infection among children and adolescents, which the clinicians must have a good suspicion about.