一名健康年轻女孩因新型冠状病毒血管炎引发的缺血性中风。
Ischemic stroke on SARS-CoV2 vasculitis in a healthy young girl.
作者信息
Petat Hortense, Hassani Adnan, Dabaj Ivana, Tzaroukian Lucile, Goujard Barbara, Michelet Isabelle, More Rebecca
机构信息
U1311 DYNAMICURE Université de Rouen Normandie - IRIB -UFR Santé- 22 Boulevard Gambetta- CS 76183- 76183 Rouen France.
Département de Pédiatrie Médicale Centre Hospitalier Universitaire de Rouen, EA2656 Université de Normandie, UNIRouen Rouen France.
出版信息
Health Sci Rep. 2023 Jan 23;6(1):e1046. doi: 10.1002/hsr2.1046. eCollection 2023 Jan.
BACKGROUND AND AIMS
In France, we noted the fifth wave of SARS-CoV2 pandemic, characterized by presence of Omicron variant. This variant is very contagious, but less often aggressive, especially in pediatric population.
METHODS
We report a case of a 10-year-old girl, previously healthy, not yet vaccinated for SARS-CoV2, presented to our emergency department for left hemiparesis associated with headache and vomiting, without any signs of respiratory tract infection.
RESULTS
Cerebral CT and MRI showed an ischemic stroke of right sylvian artery. Magnetic resonance angiography performed upon resurgence of new symptoms was in favor of vasculitis on the right internal carotid and right sylvian artery. PCR SARS-CoV2 was positive for Omicron variant. She fully recovered after few days and was treated with acetylsalicylic acid and intravenous corticosteroids.
CONCLUSION
We report this case to raise awareness on the possible complications related to SARS-CoV2 infection and we highly recommend vaccination in this age group.
背景与目的
在法国，我们注意到了新冠疫情的第五波，其特征是出现了奥密克戎变种。该变种传染性很强，但致病性较弱，尤其是在儿童群体中。
方法
我们报告了一例10岁女童的病例，该女童此前身体健康，尚未接种新冠疫苗，因左侧偏瘫伴头痛和呕吐前来我院急诊科就诊，无任何呼吸道感染迹象。
结果
脑部CT和MRI显示右侧大脑中动脉缺血性中风。在新症状复发时进行的磁共振血管造影显示右侧颈内动脉和右侧大脑中动脉存在血管炎。新冠病毒PCR检测显示奥密克戎变种呈阳性。她在几天后完全康复，并接受了阿司匹林和静脉注射皮质类固醇治疗。
结论
我们报告此病例是为了提高对新冠病毒感染可能并发症的认识，并且我们强烈建议在这个年龄组进行疫苗接种。
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