Suppr超能文献

[一名有SARS-CoV-2感染史儿童的免疫介导性脑炎]

[Immune-mediated encephalitis in a child with a history of SARS-CoV-2 infection].

作者信息

Adauto Luizaga Jhoanna, Costa Almar Florencia, Zwirner Agustina, Fernández Polivanoff M Lucía, Suárez Ramiro F, Rossi Santiago, Pascual Carolina

机构信息

Clínica Pediátrica, Hospital de Niños Dr. Ricardo Gutiérrez, Ciudad Autónoma de Buenos Aires, Argentina.

出版信息

Arch Argent Pediatr. 2022 Aug;120(4):e183-e186. doi: 10.5546/aap.2022.e183. Epub 2022 Jun 7.

Abstract

Encephalitis are frequent clinical pictures in pediatric age. They can be divided into those caused by infection of the central nervous system and those of immune-mediated etiology (some of which may be para- or post-infectious). In March 2020, the WHO declared a SARS-CoV-2 pandemic. Pediatric reports of disease caused by this agent describe a wide range of clinical manifestations: respiratory and gastrointestinal compromise, neurological symptoms, among others; and a multisystemic inflammatory syndrome in children associated with COVID-19 (MIS-C). We describe the case of a 2-year-old boy with a diagnosis of anti-NMDAR antibody encephalitis, in whom a recent SARS-CoV-2 infection was serologically proven. The presence of positive serological markers for SARS-CoV-2 in a patient who presented encephalitis due to anti-NMDAR antibodies could be interpreted as a temporal association; establishing the possibility that the virus has acted as a trigger for an autoimmune disease.

摘要

脑炎是儿科常见的临床病症。它们可分为由中枢神经系统感染引起的和免疫介导病因(其中一些可能是感染前或感染后)引起的。2020年3月,世界卫生组织宣布新型冠状病毒肺炎大流行。关于这种病原体所致疾病的儿科报告描述了广泛的临床表现:呼吸和胃肠道功能损害、神经症状等;以及与新型冠状病毒肺炎相关的儿童多系统炎症综合征(MIS-C)。我们描述了一名2岁男孩的病例,该男孩被诊断为抗N-甲基-D-天冬氨酸受体(NMDAR)抗体脑炎,血清学证实近期感染了新型冠状病毒。在一名因抗NMDAR抗体而出现脑炎的患者中,新型冠状病毒血清学标志物呈阳性,这可能被解释为一种时间上的关联;这表明该病毒有可能引发了自身免疫性疾病。

文献AI研究员

20分钟写一篇综述,助力文献阅读效率提升50倍。

立即体验

用中文搜PubMed

大模型驱动的PubMed中文搜索引擎

马上搜索

文档翻译

学术文献翻译模型,支持多种主流文档格式。

立即体验