作为儿童多系统炎症综合征的表现症状
Eleonora S D'Ambrosio1, Stefanie Gauguet2, Christine Miller2
1Department of Neurology, University of Massachusetts Medical Center, University of Massachusetts Chan Medical School, 55 Lake Avenue North, Worcester, MA 01655, USA.
Case reports in infectious diseases
|July 17, 2023
概括
儿童的新发作和发烧可能是儿童多系统炎症综合征 (MIS-C) 的信号. 早期识别至关重要,因为MIS-C可以迅速导致严重的心脏功能障碍和休克.
科学领域:
- 儿科 儿科 儿科
- 传染性疾病 传染性疾病
- 心脏病学 心脏病学
背景情况:
- 儿童多系统炎症综合征 (MIS-C) 是一种与SARS-CoV-2相关的不断发展的疾病.
- 包括发作在内的神经症状是MIS-C的不常见表现.
- 儿科医生可能不容易将发烧发作与MIS-C联系起来,特别是当COVID-19感染不明显时.
研究的目的:
- 突出作为MIS-C的潜在早期症状.
- 强调迅速诊断和管理MIS-C的重要性.
- 提高医疗保健提供者对非典型MIS-C表现的认识.
主要方法:
- 一个13岁的女性患者的病例报告.
- 详细的临床表现包括发作,发烧和心脏功能障碍.
- 诊断工作和随后的管理.
主要成果:
- 患者出现了新发作和发烧,最初模仿了常见的儿童疾病.
- 快速进展至严重的心脏功能障碍,冠状动脉扩张和休克.
- 诊断的MIS-C被证实,尽管不典型的初始症状.
结论:
- 新发作的发作和发烧可能是儿童MIS-C的初始或主要症状.
- 由于快速心脏衰退的风险,迅速识别和心脏监测至关重要.
- 为了及时干预,需要提高对MIS-C多样化的临床谱的认识.
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