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一名新冠病毒感染儿童的炎症性腹膜炎

"Inflammatory peritonitis in a child with COVID-19″.

作者信息

Takegawa Paula H, Silva Márcia Cavalaro, Belluco Caroline, Mitsunaga Thalita, Pegolo Patrícia, Miranda Márcio L, Brandão Marcelo Barciela, Vilela Ricardo, Castro Marcela Silva, Junqueira Fernanda, Bustorff-Silva Joaquim

机构信息

Division of Pediatric Surgery, Department of Surgery, State University of Campinas Medical School, Rua Tessalia Vieira de Camargo, 181, Cidade Universitária, 13083-887, Campinas, SP, Brazil.

Pediatric Intensive Care Unit, Department of Pediatrics, Clinical Hospital, State University of Campinas Medical School, R. Vital Brasil, 251, Cidade Universitária, 13083-888, Campinas, SP, Brazil.

出版信息

J Pediatr Surg Case Rep. 2021 Dec;75:102077. doi: 10.1016/j.epsc.2021.102077. Epub 2021 Oct 13.

DOI:10.1016/j.epsc.2021.102077
PMID:34660197
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8511549/
Abstract

COVID-19 is the disease caused by SARS-COV-2 coronavirus infection (Severe acute respiratory syndrome coronavirus 2). Although its most prevalent symptoms are respiratory, there are descriptions of gastrointestinal manifestations in children, but the presentation as an acute abdomen is rare. We report the case of a 6-month-old infant who was admitted with a diagnosis of intestinal obstruction and generalized peritonitis with no apparent cause, in whom a SARS-CoV-2 rt-PCR search was positive. We have not found descriptions of similar cases in the literature so far.

摘要

新型冠状病毒肺炎(COVID-19)是由严重急性呼吸综合征冠状病毒2(SARS-CoV-2)感染引起的疾病。尽管其最常见的症状是呼吸道症状,但也有关于儿童胃肠道表现的描述,而表现为急腹症的情况较为罕见。我们报告了一例6个月大的婴儿,因诊断为肠梗阻和原因不明的弥漫性腹膜炎入院,其严重急性呼吸综合征冠状病毒2逆转录聚合酶链反应(SARS-CoV-2 rt-PCR)检测呈阳性。迄今为止,我们在文献中尚未发现类似病例的描述。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ab36/8511549/9b26de6311ae/gr3_lrg.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ab36/8511549/b15b1f4fad81/gr1_lrg.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ab36/8511549/1187c0cb42f4/gr2_lrg.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ab36/8511549/9b26de6311ae/gr3_lrg.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ab36/8511549/b15b1f4fad81/gr1_lrg.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ab36/8511549/1187c0cb42f4/gr2_lrg.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ab36/8511549/9b26de6311ae/gr3_lrg.jpg

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J Pediatr Surg Case Rep. 2021 Jun;69:101838. doi: 10.1016/j.epsc.2021.101838. Epub 2021 Apr 8.
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COVID Abdomen: SARS-CoV-2 Infection Presenting as 'Acute Abdomen' in a Child.新冠病毒感染致腹部表现:一名儿童出现以“急腹症”为表现的新型冠状病毒2型感染
Indian J Pediatr. 2021 Mar;88(3):299-300. doi: 10.1007/s12098-020-03508-4. Epub 2020 Sep 23.
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Multi-system inflammatory syndrome in children & adolescents (MIS-C): A systematic review of clinical features and presentation.
儿童和青少年多系统炎症综合征(MIS-C):临床特征和表现的系统评价。
Paediatr Respir Rev. 2021 Jun;38:51-57. doi: 10.1016/j.prrv.2020.08.001. Epub 2020 Aug 11.
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Characteristics, Cardiac Involvement, and Outcomes of Multisystem Inflammatory Syndrome of Childhood Associated with severe acute respiratory syndrome coronavirus 2 Infection.与严重急性呼吸综合征冠状病毒 2 感染相关的儿童多系统炎症综合征的特征、心脏受累和结局。
J Pediatr. 2020 Sep;224:141-145. doi: 10.1016/j.jpeds.2020.06.044. Epub 2020 Jun 14.
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