Encephalitis in multisystem inflammatory syndrome in children (MIS-C) associated with SARS-CoV-2 infection: A case series

Encephalitis in multisystem inflammatory syndrome in children (MIS-C) associated with SARS-CoV-2 infection: A case series

Authors

  • Luca Bernardo Pediatric Unit, Department of Childhood and Developmental Medicine, ASST Fatebenefratelli-Sacco, Milan, Italy
  • Marta Brambilla Pediatric Unit, Department of Childhood and Developmental Medicine, ASST Fatebenefratelli-Sacco, Milan, Italy.
  • Marco Ugo Sartorio Pediatric Unit, Department of Childhood and Developmental Medicine, ASST Fatebenefratelli-Sacco, Milan, Italy.
  • Martina Sandini Pediatric Unit, Department of Childhood and Developmental Medicine, ASST Fatebenefratelli-Sacco, Milan, Italy.
  • Francesca Casini Pediatric Unit, Department of Pediatrics, Vittore Buzzi Children’s Hospital, ASST Fatebenefratelli-Sacco, Milan, Italy.
  • Clelia Di Mari Pediatric Unit, Department of Childhood and Developmental Medicine, ASST Fatebenefratelli-Sacco, Milan, Italy.
  • Angela Mauro Pediatric Rheumatology Unit, Department of Childhood and Developmental Medicine, ASST Fatebenefratelli-Sacco, Milan, Italy.

Keywords:

multisystem inflammatory disease, neurological involvement, children, SARS-CoV2

Abstract

Backgroung and aim: Multisystem inflammatory syndrome in children (MIS-C) associated with SARS-CoV2 infection is a systemic hyper-inflammatory condition affecting children with a recent acute SARS-CoV2 infection. It is usually characterized by persistent fever, mucocutaneous involvement, lymphadenopathy, gastrointestinal symptoms, cardiac dysfunction. Neurological involvement in MIS-C is frequent but not clearly defined: patients may develop acute neurological involvement, characterized by rapid onset of focal neurological signs and electrical abnormalities.

Methods and results: Herein we report 3 cases of  children with MIS-C developing an acute encephalopathy.

Conclusion: Additional data are needed in order to evaluate the prevalence of acute encephalitis in patients with MIS-C and characterize its presentation and define long-term outcomes.

References

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Published

15-12-2025

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Section

CASE REPORTS

How to Cite

1.
Bernardo L, Brambilla M, Sartorio MU, et al. Encephalitis in multisystem inflammatory syndrome in children (MIS-C) associated with SARS-CoV-2 infection: A case series. Acta Biomed. 2025;96(6):16675. doi:10.23750/abm.v96i6.16675