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在一例急性阑尾炎病例中鉴定出 SARS-CoV-2：COVID-19 患儿以急性腹痛为表现的多系统炎症综合征。

SARS-CoV-2 identification in an acute appendicitis case: Acute abdomen as manifestation of Multisystem Inflammatory Syndrome in a child with COVID-19.

机构信息

Unidade de Terapia Intensiva Pediátrica, Departamento de Pediatria, Hospital Universitário da Universidade de São Paulo, SP, Brazil.

Unidade de Terapia Intensiva Pediátrica, Departamento de Pediatria, Hospital Universitário da Universidade de São Paulo, SP, Brazil.

出版信息

Braz J Infect Dis. 2021 Nov-Dec;25(6):101651. doi: 10.1016/j.bjid.2021.101651. Epub 2021 Nov 10.

DOI:10.1016/j.bjid.2021.101651
PMID:34774470
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8580246/
Abstract

Coronavirus disease 2019 (COVID-19) pandemic is a global health emergency. The clinical course of COVID-19 in children is mild in most of the cases, but multisystem inflammatory syndrome in children (MIS-C) is recognized as a potential life-threatening complication of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection. Acute abdomen as a presentation of COVID-19 is rare, and its correlation to COVID-19 features and prognosis remains undetermined. Herein, we describe a case of appendicitis in a child with confirmed diagnosis of COVID-19 and subsequent SARS-CoV-2 identification in appendix tissue.

摘要

2019 年冠状病毒病（COVID-19）大流行是一场全球卫生紧急事件。在大多数情况下，儿童的 COVID-19 临床过程是轻微的，但儿童多系统炎症综合征（MIS-C）被认为是严重急性呼吸综合征冠状病毒 2（SARS-CoV-2）感染的潜在危及生命的并发症。以急性腹痛为表现的 COVID-19 较为罕见，其与 COVID-19 特征和预后的相关性尚不确定。在此，我们描述了一例确诊 COVID-19 患儿的阑尾炎，随后在阑尾组织中检测到 SARS-CoV-2。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7b60/9392189/984062d33490/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7b60/9392189/984062d33490/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7b60/9392189/984062d33490/gr1.jpg

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Does Multisystem Inflammatory Syndrome Only Mimic Acute Appendicitis in Children or Can It Coexist: When Should We Suspect MIS-C?多系统炎症综合征是否仅在儿童中模拟急性阑尾炎，还是可以共存：我们何时应怀疑 MIS-C？
Medicina (Kaunas). 2022 Aug 14;58(8):1101. doi: 10.3390/medicina58081101.
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Cureus. 2020 Sep 29;12(9):e10722. doi: 10.7759/cureus.10722.
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