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表现为多系统炎症综合征的小儿恙虫病:一个新的混淆或关注原因——病例系列

Pediatric Scrub Typhus Manifesting with Multisystem Inflammatory Syndrome: A New Cause for Confusion or Concern-A Case Series.

作者信息

Bhardwaj Parveen, Sood Mangla, Singh Rajender

机构信息

Department of Pediatrics, Indira Gandhi Medical College, Shimla, Himachal Pradesh, India.

出版信息

Indian J Crit Care Med. 2022 Jun;26(6):723-727. doi: 10.5005/jp-journals-10071-24200.

Abstract

The pandemic of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) has discovered a new disease called multisystem inflammatory syndrome in children (MIS-C). In developing nations, pediatricians must be mindful of the similarities between MIS-C and other tropical fevers such as scrub typhus. Not only should such patients be kept on high alert to rule out tropical diseases and receive appropriate treatment, such as steroids or immunomodulatory medications, but this is also concerning because, if rickettsial or bacterial infection is not detected through cultures and serology, steroid, or immunomodulatory treatment alone can be fatal. Bhardwaj P, Sood M, Singh R. Pediatric Scrub Typhus Manifesting with Multisystem Inflammatory Syndrome: A New Cause for Confusion or Concern-A Case Series. Indian J Crit Care Med 2022;26(6):723-727.

摘要

严重急性呼吸综合征冠状病毒2(SARS-CoV-2)大流行发现了一种名为儿童多系统炎症综合征(MIS-C)的新疾病。在发展中国家,儿科医生必须留意MIS-C与其他热带热病(如恙虫病)之间的相似之处。这类患者不仅应保持高度警惕以排除热带疾病并接受适当治疗,如使用类固醇或免疫调节药物,而且这也令人担忧,因为如果通过培养和血清学未检测到立克次体或细菌感染,仅使用类固醇或免疫调节治疗可能是致命的。Bhardwaj P、Sood M、Singh R。表现为多系统炎症综合征的儿童恙虫病:一个新的混淆或担忧原因——病例系列。《印度重症监护医学杂志》2022年;26(6):723-727。

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本文引用的文献

8
Estimating the burden of scrub typhus: A systematic review.恙虫病负担的评估:一项系统综述。
PLoS Negl Trop Dis. 2017 Sep 25;11(9):e0005838. doi: 10.1371/journal.pntd.0005838. eCollection 2017 Sep.
9
Rickettsial infections: Indian perspective.立克次体感染:印度视角。
Indian Pediatr. 2010 Feb;47(2):157-64. doi: 10.1007/s13312-010-0024-3.

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