一名8岁巴基斯坦男孩患新冠病毒相关川崎病的非典型病例。
Atypical Case of COVID-19 Associated Kawasaki Disease in an Eight-Year-Old Pakistani Boy.
作者信息
Khan Israr, Sarwar Ayesha, Ahmed Zahoor
机构信息
Internal Medicine, Bolan Medical College, Quetta, PAK.
Internal Medicine, King Edward Medical University, Mayo Hospital, Lahore, PAK.
出版信息
Cureus. 2020 Sep 26;12(9):e10670. doi: 10.7759/cureus.10670.
People of all age groups have been affected worldwide during the coronavirus disease 2019 (COVID-19) pandemic. While the global efforts of researchers, clinicians, and scientists are underway, cases involving multiple systems with a wide range of presentations are on the horizon. As health organizations have started warnings about unusual manifestations of a Kawasaki disease (KD)-like inflammatory syndrome associated with COVID-19, some pediatric cardiologists noted that even classic cases are likely going undercounted. Here we report a case of a previously healthy eight-year-old Pakistani boy who presented with a four-day history of low-grade fever. The patient was admitted and diagnosed with COVID-19-associated atypical KD in the setting of fever for more than five days, maculopapular eruptions, and mild conjunctivitis. He screened positive for COVID-19 with an immunoglobulin G titer of 2.1 plus ruling out other childhood illnesses. He was managed with intravenous immunoglobulins and aspirin with gradual resolution of symptoms. His initial echocardiogram was unremarkable. He was discharged home on day six with a follow-up at two weeks.
在2019冠状病毒病(COVID-19)大流行期间,全球所有年龄组的人群都受到了影响。虽然研究人员、临床医生和科学家正在全球范围内开展努力,但涉及多个系统且表现形式广泛的病例即将出现。随着卫生组织开始对与COVID-19相关的川崎病(KD)样炎症综合征的异常表现发出警告,一些儿科心脏病专家指出,即使是典型病例可能也未得到充分统计。在此,我们报告一例先前健康的8岁巴基斯坦男孩,他有4天的低热病史。该患者因发热超过5天、斑丘疹和轻度结膜炎入院,被诊断为与COVID-19相关的非典型KD。他的COVID-19免疫球蛋白G滴度为2.1,筛查呈阳性,同时排除了其他儿童疾病。他接受了静脉注射免疫球蛋白和阿司匹林治疗,症状逐渐缓解。他的初始超声心动图检查无异常。他在第6天出院回家,并在两周后进行随访。
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