Mixed Nervous System Involvement in a Child with Multisystem Inflammatory Syndrome- A Rare Presentation of SARS-CoV-2

Multi-system inflammatory syndrome (MIS-C) is a rare but severe complication of Covid-19 infection. The clinical presentation ranges from a mild course of systemic inflammatory response to a life threatening hyper inflammatory shock and multi organ dysfunction. Central nervous system presentation is seen in acute Covid-19 infection in adults but is rarely seen in children. We describe a case of MIS-C in a child who was admitted to our Pediatric Intensive Care Unit with features of hyper inflammatory syndrome and mixed central and peripheral nervous system manifestations.