Winant Abbey J, Blumfield Einat, Liszewski Mark C, Kurian Jessica, Foust Alexandra M, Lee Edward Y
Department of Radiology, Boston Children's Hospital and Harvard Medical School, 300 Longwood Ave, Boston, MA 02115 (A.J.W., A.M.F., E.Y.L.); and Department of Radiology and Pediatrics, The Children's Hospital at Montefiore and Montefiore Medical Center, Albert Einstein College of Medicine, Bronx, New York, 10467 (E.B., M.C.L., J.K.).
Radiol Cardiothorac Imaging. 2020 Jul 30;2(4):e200346. doi: 10.1148/ryct.2020200346. eCollection 2020 Aug.
The coronavirus disease 2019 (COVID-19) global pandemic is an ongoing public health emergency, with over 4 million confirmed cases worldwide. Due to the novel nature of this coronavirus and our evolving understanding of its pathophysiology, there is continued uncertainty surrounding diagnosis and management of COVID-19, especially in pediatric patients. In addition, a new febrile hyperinflammatory Kawasaki-like syndrome (also known as multisystem inflammatory syndrome in children, or MIS-C) has emerged in pediatric patients with temporal association to COVID-19 infection. This review article aims to provide an up-to-date review of the clinical and imaging findings of pediatric MIS-C associated with COVID-19, compared with typical acute pediatric COVID-19 infection, with an emphasis on thoracic imaging findings. Supplemental material is available for this article. © RSNA, 2020.
2019年冠状病毒病(COVID-19)全球大流行是一场持续的突发公共卫生事件,全球确诊病例超过400万例。由于这种冠状病毒的新颖性以及我们对其病理生理学的不断深入了解,COVID-19的诊断和管理仍存在不确定性,尤其是在儿科患者中。此外,一种新的发热性高炎症性川崎样综合征(也称为儿童多系统炎症综合征,或MIS-C)已在与COVID-19感染存在时间关联的儿科患者中出现。本文旨在对与COVID-19相关的儿科MIS-C的临床和影像学表现进行最新综述,并与典型的急性儿科COVID-19感染进行比较,重点关注胸部影像学表现。本文提供补充材料。©RSNA,2020年。