Table 3

Detailed summary of alternate diagnoses among MIS-C- patients

DiagnosisNumber
Bacterial infection24
 Anaplasmosis1
 Bacterial lymphadenitis7
 Dental abscess1
 Labial abscess1
 Lyme disease2*
Mycobacterium flavescens mediastinal lymphadenitis1
 Non-typhoidal Salmonella enteritis 2
 Pneumonia (presumed bacterial)1
 Retropharyngeal abscess1
 Ruptured AOM/parotid abscess/infected branchial cleft cyst1
 Urinary tract infection4
 Small bowel intussusception/necrosis and peritonitis1
 Staphylococcal toxic shock syndrome1
Acute viral infection10
 Acute CMV1
 Acute EBV3*
 Adenovirus URI2
 Coxsackievirus-associate herpangina1
 Human metapneumovirus URI2
 Rhinovirus URI1
Autoimmune/autoinflammatory disease12
 Autoimmune cholangiopathy1
 Coeliac disease1
 Inflammatory bowel disease1
 Kawasaki disease4
 Kikuchi disease (complicated by MAS/HLH)1
 Systemic JIA (complicated by MAS/HLH)1
 PFAPA2
 Urticaria multiforme1
Oncology1
 Langerhans cell histiocytosis1
Toxic exposures2
 EVALI2
No diagnosis20
Total patients68*
  • *One patient was diagnosed with both Lyme and EBV infection.

  • AOM, acute otitis media; CMV, cytomegalovirus; EBV, Epstein-Barr virus; EVALI, e-cigarette or vaping product use-associated lung injury; HLH, hemophagocytic lymphohistiocytosis; JIA, juvenile idiopathic arthritis; MAS, macrophage activation syndrome; MIS-C, multisystem inflammatory syndrome in children; PFAPA, periodic fever, aphthous stomatitis, pharyngitis, adenitis; URI, upper respiratory infection.