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新型冠状病毒病相关川崎病:病例报告。

Coronavirus disease 2019-related Kawasaki syndrome: a case report.

机构信息

Department of Pediatrics, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran.

Pharmaceutical Research Center, Fakouri Boulevard, Booali Research Center, Mashhad University of Medical Sciences, Mashhad, Iran.

出版信息

J Med Case Rep. 2022 Nov 9;16(1):432. doi: 10.1186/s13256-022-03589-z.

Abstract

BACKGROUND

Coronavirus disease 2019 has changed the pattern of some diseases in the world, especially in pediatrics. Despite data suggesting that the pediatric population is less affected by coronavirus disease-19 infection, new concerns have been raised owing to reported cases with hyperinflammatory conditions such as Kawasaki disease.

CASE PRESENTATION

We report herein the case of a pediatric patient diagnosed and treated for classic Kawasaki disease in the setting of confirmed coronavirus disease 2019 infection. She was an 8-year-old, previously healthy, and fully immunized Iranian girl who initially presented to the pediatric emergency department with 5 days of intermittent fever, followed by abdominal pain, nausea, and vomiting. She was admitted for fever and abdominal pain to the surgery service of Akbar Hospital with suspected appendicitis.

CONCLUSIONS

This case report may serve as a useful reference to other clinicians caring for pediatric patients affected by coronavirus disease 2019 infection. Standard therapeutic interventions for Kawasaki disease must be performed to prevent critical coronary aneurysm-related complications in the coronavirus disease 2019 era.

摘要

背景

2019 年冠状病毒病改变了世界上一些疾病的模式,尤其是在儿科领域。尽管有数据表明儿童人群受冠状病毒病-19 感染的影响较小,但由于报告的伴有川崎病等炎症反应过高的病例,人们又产生了新的担忧。

病例报告

我们在此报告了一例儿科患者的病例,该患者在确诊 2019 年冠状病毒病感染的情况下,被诊断并治疗为典型川崎病。她是一名 8 岁、既往健康、已完全接种疫苗的伊朗女孩,最初因间歇性发热 5 天,随后出现腹痛、恶心和呕吐而到儿科急诊就诊。她因发热和腹痛入住 Akbar 医院外科病房,疑似阑尾炎。

结论

本病例报告可以为照顾受 2019 年冠状病毒病感染影响的儿科患者的其他临床医生提供有益的参考。在 2019 年冠状病毒病时代,必须进行川崎病的标准治疗干预,以预防与严重冠状动脉瘤相关的并发症。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9453/9647970/b09ea47e5135/13256_2022_3589_Fig1_HTML.jpg

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