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[病毒性肌炎,一例儿科病例报告]

[Viral myositis, a pediatric case report].

作者信息

Padrón Hernández María L, Vargas Latorre Jenniffer R, Ortegón-Ochoa Sofía, Naranjo-Medina Natalia, Pacheco Bethia

机构信息

Instituto Roosevelt, Pontificia Universidad Javeriana, Bogotá, Colombia.

Pontificia Universidad Javeriana, Bogotá, Colombia.

出版信息

Arch Argent Pediatr. 2019 Oct 1;117(5):e493-e496. doi: 10.5546/aap.2019.e493.

Abstract

Acute viral myositis is a complication after a viral infection mainly caused by Influenza A and B viruses. It is characterized as a transitory, sudden, self-limiting and benign inflammatory process. It usually affects preschool and school children presenting bilateral pain and sensitivity in the muscle groups of the lower limbs without alteration in the neurological examination. It can affect the gait or standing. The main complication is rhabdomyolysis, which is why clinical followup and values of creatine phosphokinase must be done. We present the case of a school-age child diagnosed with acute viral myositis. Because it is not a frequent entity and its incidence in Latin America is unknown, we consider important to report the case and review the topic, as its clinical course is benign, easily treated, and its knowledge can avoid unnecessary studies and hospitalizations.

摘要

急性病毒性肌炎是病毒感染后的一种并发症,主要由甲型和乙型流感病毒引起。其特征为短暂、突发、自限性且良性的炎症过程。它通常影响学龄前和学龄儿童,表现为双下肢肌群疼痛和压痛,神经系统检查无异常。它可能影响步态或站立。主要并发症是横纹肌溶解,这就是为什么必须进行临床随访和检测肌酸磷酸激酶值的原因。我们报告一例学龄儿童诊断为急性病毒性肌炎的病例。由于它并非常见病症,且在拉丁美洲的发病率未知,我们认为报告该病例并回顾此主题很重要,因为其临床过程是良性的,易于治疗,了解它可以避免不必要的检查和住院治疗。

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