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1例由严重急性呼吸综合征冠状病毒2(SARS-CoV-2)引起的多系统炎症综合征并伴有急性阑尾炎症状

A Case of Multisystem Inflammatory Syndrome Due to SARS-CoV-2 Presenting With Acute Appendicitis Symptoms.

作者信息

Uğur Cüneyt, Mete Uğur C, Ömeroğlu Ethem

机构信息

Department of Pediatrics, University of Health Sciences, Konya City Health Application and Research Center, Konya, TUR.

Department of Pediatrics, Konya City Hospital, Konya, TUR.

出版信息

Cureus. 2022 Feb 14;14(2):e22206. doi: 10.7759/cureus.22206. eCollection 2022 Feb.

Abstract

Multisystem Inflammatory Syndrome (MIS-C) in children associated with SARS-CoV-2 infection has a variable clinical presentation because it affects many systems. It can affect the cardiac, renal, respiratory, hematological, gastrointestinal, dermatological, and neurological systems. If left untreated, it causes fatal complications. In this case report, a five-year-old male patient was admitted to the pediatric emergency service with complaints of fever, nausea, vomiting, abdominal pain, and loss of appetite. Physical examination revealed tenderness, defense, and rebound in the right lower quadrant of the abdomen. On ultrasound, the diameter of the appendix was determined as 6.8 mm. The patient, who was operated on for acute appendicitis (AA), was re-evaluated after fever and vomiting did not resolve, and he was diagnosed with MIS-C. This case was presented to remind that MIS-C should be excluded before the diagnosis of AA in patients with fever for more than 24 hours, gastrointestinal symptoms, and findings of AA.

摘要

与SARS-CoV-2感染相关的儿童多系统炎症综合征(MIS-C)临床表现多样,因为它会影响多个系统。它可影响心脏、肾脏、呼吸、血液、胃肠、皮肤和神经系统。若不治疗,会导致致命并发症。在本病例报告中,一名5岁男性患者因发热、恶心、呕吐、腹痛和食欲不振主诉入住儿科急诊。体格检查发现腹部右下腹有压痛、反跳痛和肌紧张。超声检查显示阑尾直径为6.8毫米。该患者因急性阑尾炎(AA)接受手术,在发热和呕吐未缓解后再次评估,被诊断为MIS-C。本病例旨在提醒,对于发热超过24小时、有胃肠道症状且有AA表现的患者,在诊断AA之前应排除MIS-C。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/45e6/8925993/20b79b21b7e3/cureus-0014-00000022206-i01.jpg

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