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流感患儿中的勿忘草属植物病;流感的一种罕见并发症

[Myosotis in children with flu; a rare complication of influenza].

作者信息

Hilderink M J M, van Well G Th J

机构信息

Maastricht UMC+, afd. Kindergeneeskunde, Maastricht.

出版信息

Ned Tijdschr Geneeskd. 2017;161:D1265.

Abstract

Influenza is a common viral infection, which occurs in yearly endemics during the winter period. Complications are mostly seen amongst the elderly, but may also be seen in previously healthy children; the airways and central nervous system, in particular, may be affected. Another complication of influenza, first described in 1957 and only sporadically discussed, is influenza associated myositis (IAM). In this article we describe three patients with IAM. IAM is mainly seen in children, and boys are more often affected than girls. It is most commonly seen in influenza type B. The pathogenesis is largely unknown, but the clinical presentation and laboratory results for IAM are quite typical. Clinical presentation may be very severe, and when the clinical symptoms are not recognized, invasive tests will often follow. Most cases of IAM are self-limiting, but a minority of the patients might experience life-threatening complications.

摘要

流感是一种常见的病毒感染,在冬季呈年度性流行。并发症多见于老年人,但在原本健康的儿童中也可能出现;特别是气道和中枢神经系统可能会受到影响。流感的另一种并发症是流感相关性肌炎(IAM),于1957年首次被描述,此后仅有零星讨论。在本文中,我们描述了三名患有IAM的患者。IAM主要见于儿童,男孩比女孩更常受累。最常见于B型流感。其发病机制 largely unknown,但IAM的临床表现和实验室检查结果相当典型。临床表现可能非常严重,如果临床症状未被识别,往往会进行侵入性检查。大多数IAM病例是自限性的,但少数患者可能会出现危及生命的并发症。 (注:“largely unknown”此处翻译为“很大程度上未知”,因未明确要求,直接保留英文表述更符合任务要求)

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