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青少年男性心律失常性心肌炎：多系统炎症综合征（MIS-C）的独特表现。

Arrhythmic myocarditis in an adolescent male: A unique presentation of multi-organ inflammatory syndrome (MIS-C).

机构信息

Department of Medical & Surgical Sciences, University of Foggia, Foggia, Italy.

Policlinico Riuniti University Hospital, Foggia, Italy.

出版信息

Am J Emerg Med. 2022 Apr;54:122-126. doi: 10.1016/j.ajem.2022.01.061. Epub 2022 Feb 2.

DOI:10.1016/j.ajem.2022.01.061
PMID:35152121
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8809640/
Abstract

Although children with Covid-19 generally present with mild symptoms or are often asymptomatic, there is increasing recognition of a delayed multi-organ inflammatory syndrome (MIS-C) following SARS-CoV-2 infection. We report the case of MIS-C associated arrhythmic myocarditis which recovered after anti-inflammatory therapy and immunoglobulin infusion.

摘要

虽然儿童感染新冠病毒后通常表现为轻症或无症状，但越来越多的人认识到，儿童在感染 SARS-CoV-2 后会出现延迟性多系统炎症综合征（MIS-C）。我们报告了一例与 MIS-C 相关的心律失常性心肌炎病例，该病例在接受抗炎治疗和免疫球蛋白输注后痊愈。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/28c8/8809640/a66af4c78526/gr3_lrg.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/28c8/8809640/0ddce616c02b/gr1_lrg.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/28c8/8809640/c6dc72235fcc/gr2_lrg.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/28c8/8809640/a66af4c78526/gr3_lrg.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/28c8/8809640/0ddce616c02b/gr1_lrg.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/28c8/8809640/c6dc72235fcc/gr2_lrg.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/28c8/8809640/a66af4c78526/gr3_lrg.jpg

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本文引用的文献

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Association of Intravenous Immunoglobulins Plus Methylprednisolone vs Immunoglobulins Alone With Course of Fever in Multisystem Inflammatory Syndrome in Children.静脉注射免疫球蛋白联合甲泼尼龙与单独使用免疫球蛋白治疗儿童多系统炎症综合征发热病程的关联。
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纽约市一家儿童医院与 2019 年冠状病毒病相关的儿童多系统炎症综合征：患者特征和评估、管理及随访的机构方案。
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Cardiac manifestations in SARS-CoV-2-associated multisystem inflammatory syndrome in children: a comprehensive review and proposed clinical approach.儿童严重急性呼吸综合征冠状病毒 2 相关多系统炎症综合征的心脏表现：全面综述及拟议临床处理方法
Eur J Pediatr. 2021 Feb;180(2):307-322. doi: 10.1007/s00431-020-03766-6. Epub 2020 Aug 15.
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Multisystem inflammatory syndrome in children and COVID-19 are distinct presentations of SARS-CoV-2.儿童多系统炎症综合征和 COVID-19 是 SARS-CoV-2 的不同表现形式。
J Clin Invest. 2020 Nov 2;130(11):5967-5975. doi: 10.1172/JCI140970.
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SARS-COV-2 infection in children and newborns: a systematic review.儿童和新生儿中的 SARS-CoV-2 感染：系统评价。
Eur J Pediatr. 2020 Jul;179(7):1029-1046. doi: 10.1007/s00431-020-03684-7. Epub 2020 May 18.
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An outbreak of severe Kawasaki-like disease at the Italian epicentre of the SARS-CoV-2 epidemic: an observational cohort study.SARS-CoV-2 疫情意大年夜利中间爆发严重川崎病样病：一项不雅察性队列研究。
Lancet. 2020 Jun 6;395(10239):1771-1778. doi: 10.1016/S0140-6736(20)31103-X. Epub 2020 May 13.