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巴西一名12岁感染新冠病毒的女孩出现灾难性血栓形成事件,伴有双腿和手指部分双侧截肢:病例报告。

Catastrophic thrombotic events with partial bilateral amputation of legs and fingers in a 12-year-old girl with COVID-19 in Brazil: case report.

作者信息

Pereira Giselly Rosa Modesto, da Silva André Ricardo Araújo, Pitanga Claudia Escórcio Gurgel do Amaral, Lugon Jocemir Ronaldo

机构信息

Universidade Federal Fluminense - UFF, Niterói, RJ, Brasil.

Associação Fluminense de Reabilitação, Núcleo de Estudos, Projetos e Pesquisas, Niterói, RJ, Brasil.

出版信息

J Vasc Bras. 2024 Aug 9;23:e20230175. doi: 10.1590/1677-5449.202301752. eCollection 2024.

Abstract

The first case of COVID-19 was detected in Dec 2019, in China. The disease shortly evolved into a pandemic and imposed an unparalleled health and social burden on mankind. Severe forms of COVID-19 mainly affect adults, especially the elderly and those with comorbidities. We report a severe case of COVID-19 in a previously healthy 12-year-old female who was admitted to the emergency room on May 26, 2020, with fever, abdominal pain, vomiting, and diarrhea. During the hospital stay, she tested positive for SARS-CoV-2 and developed multiple organ failure and catastrophic thrombotic events resulting in bilateral amputation of legs and fingers. She was discharged from the hospital for outpatient follow-up after 107 days. By the time this report was written, the patient was undergoing prosthesis prescription and training and regaining her independence to walk.

摘要

2019年12月,中国发现了首例新冠病毒肺炎病例。该疾病很快演变成一场大流行,给人类带来了前所未有的健康和社会负担。新冠病毒肺炎的重症形式主要影响成年人,尤其是老年人和患有合并症的人。我们报告了一例重症新冠病毒肺炎病例,患者为一名此前健康的12岁女性,于2020年5月26日因发热、腹痛、呕吐和腹泻被送往急诊室。住院期间,她的新冠病毒检测呈阳性,并出现多器官功能衰竭和灾难性血栓事件,导致双腿和手指双侧截肢。107天后,她出院进行门诊随访。在撰写本报告时,患者正在接受假肢处方和训练,并逐渐恢复独立行走能力。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c387/11404775/d7029343ee36/jvb-23-e20230175-g01.jpg

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