Unilateral dystrophic circumferential calcified ureteral stenosis with hydronephrosis associated with multisystem inflammatory syndrome in adults following coronavirus disease 2019

Makoto Hibino; Yuta Kasai; Hikari Higa; Shigehiro Watanabe; Riko Kamada; Shunichi Tobe; Kazunari Maeda; Tetsuri Kondo

doi:10.1016/j.idcr.2024.e02082

Unilateral dystrophic circumferential calcified ureteral stenosis with hydronephrosis associated with multisystem inflammatory syndrome in adults following coronavirus disease 2019

IDCases. 2024 Sep 17:38:e02082. doi: 10.1016/j.idcr.2024.e02082. eCollection 2024.

Authors

Makoto Hibino¹, Yuta Kasai¹, Hikari Higa¹, Shigehiro Watanabe¹, Riko Kamada¹, Shunichi Tobe¹, Kazunari Maeda¹, Tetsuri Kondo¹

Affiliation

¹ Department of Respiratory Medicine, Shonan Fujisawa Tokushukai Hospital, 1-5-1 Tsujido Kandai, Fujisawa, Kanagawa 251-0041, Japan.

Abstract

•COVID-19-related MIS-A developed in a Japanese patient.•Acute MIS-A symptoms improved with steroid and immunoglobulin therapy.•Unilateral ureteral calcified stenosis observed in the late phase of MIS-A.•Ureteral calcification suggests microvasculopathy and multiorgan ischemia from MIS-A.

Keywords: COVID-19; Disseminated intravascular coagulation; SARS-CoV-2; Ureteral calcification; Vasculitis.