一名儿科患者中与SARS-CoV-2感染相关的病毒感染后胃轻瘫
Postviral Gastroparesis Associated With SARS-CoV-2 Infection in a Pediatric Patient.
作者信息
Rusch Courtney M, Molleston Jerome M, Glasser Matthew F, Don Steven, Kulkarni Sakil S
机构信息
Department of Pediatrics, St. Louis Children's Hospital, Washington University School of Medicine, St. Louis, MO.
Division of Pediatric Gastroenterology, Hepatology and Nutrition, Department of Pediatrics, St. Louis Children's Hospital, Washington University School of Medicine, St. Louis, MO.
出版信息
JPGN Rep. 2022 Mar 9;3(2):e195. doi: 10.1097/PG9.0000000000000195. eCollection 2022 May.
Postviral gastroparesis has been described in children, but it has not yet been attributed to SARS-CoV-2 infection. Our case report describes a teenager with abdominal pain, early satiety, and vomiting who likely had an asymptomatic SARS-CoV-2 infection 2 months before presentation. Through investigation of epidemiologic links, antibody testing, and clinical course, it is hypothesized that her significant reduction in gastric emptying was due to postviral gastroparesis secondary to SARS-CoV-2. She was treated with supportive care and prokinetic agents. The patient demonstrated symptom resolution and near normalization of gastric emptying by the time of 1 month follow up.
儿童中已有关于病毒感染后胃轻瘫的描述，但尚未将其归因于SARS-CoV-2感染。我们的病例报告描述了一名青少年，出现腹痛、早饱及呕吐症状，在就诊前2个月可能曾有无症状SARS-CoV-2感染。通过调查流行病学关联、抗体检测及临床病程，推测她胃排空显著减少是由SARS-CoV-2继发的病毒感染后胃轻瘫所致。她接受了支持性治疗及促动力药物治疗。在1个月随访时，患者症状缓解，胃排空接近正常。
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