Bhardwaj Parveen, Sood Mangla, Singh Rajender
Department of Pediatrics, Indira Gandhi Medical College, Shimla, Himachal Pradesh, India.
Indian J Crit Care Med. 2022 Jun;26(6):723-727. doi: 10.5005/jp-journals-10071-24200.
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.
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。
