COVID-19 感染相关非典型川崎病：儿童多系统炎症综合征（MIS-C）病例报告
Atypical Kawasaki syndrome in COVID-19 infection: a case report of a multisystem inflammatory syndrome in a child (MIS-C).
机构信息
Child Health Directorate, Komfo Anokye Teaching Hospital, Kumasi, Ghana.
Department of Child Health, School of Medicine and Dentistry, College of Health Sciences, Kwame Nkrumah University of Science and Technology, Kumasi, Ghana.
出版信息
Ghana Med J. 2021 Jun;55(2 Suppl):64-67. doi: 10.4314/gmj.v55i2s.10.
UNLABELLED
The emergence of COVID-19 by a novel severe acute respiratory syndrome coronavirus (SARS-CoV-2) in 2019 has seen evolving data reporting infrequent infection in children and mostly mild disease for children who contract the infection. A severe form of COVID-19 in children recently reported in Europe and North America describes a multisystem inflammation syndrome in children (MIS-C), presenting as toxic-shock-like and Kawasaki-like syndromes. Data on MIS-C in Africa is being documented with recent reports from South Africa and Nigeria in black children, but information on MIS-C in Ghana is yet to be characterized. We report the first case of multisystem inflammatory syndrome in a child who tested PCR positive to SARS-CoV2 in a tertiary hospital in Ghana. The case describes a 10-year-old boy who reported Kawasaki-like syndrome without shock but with moderate respiratory distress requiring supportive acute care without the need for intensive care.
FUNDING
None declared.
背景
2019 年，新型严重急性呼吸综合征冠状病毒（SARS-CoV-2）引发了 COVID-19 疫情。现有数据表明，儿童感染该病毒的情况并不常见，且大多症状较轻。近期，欧洲和北美的报告显示，儿童中出现了一种严重的 COVID-19 类型，即儿童多系统炎症综合征（MIS-C），其表现为类似于中毒性休克和川崎病的综合征。非洲也有关于 MIS-C 的病例报告，南非和尼日利亚的黑人儿童中都有相关报告，但加纳的 MIS-C 信息尚未明确。我们报告加纳一家三级医院收治的首例儿童多系统炎症综合征病例，该患儿 SARS-CoV-2PCR 检测呈阳性。该患儿表现为川崎病样综合征，无休克，但存在中度呼吸窘迫，需要支持性急性护理，无需重症监护。
资金
无。
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