斯里兰卡的一名儿童患有流感B相关的急性肌肉炎:一个病例报告
T T Pattiyakumbura1, J M L C K Jayasundara2, P B U S Premarathne2
1Department of Virology, Medical Research Institute, Colombo 08, Colombo, 00800, Sri Lanka. thulanipattiyakumbura@yahoo.com.
Journal of medical case reports
|August 5, 2025
概括
B型流感会导致儿童急性肌肉炎,导致肌肉疼痛和行走困难. 通过病毒检测及时诊断是有效管理这种流感相关疾病的关键.
科学领域:
- 儿童传染病 儿童传染病
- 神经肌肉疾病 神经肌肉疾病
- 病毒病原体的产生
背景情况:
- 肌肉炎涉及骨肌肉的炎症和各种原因的软弱.
- 传染性肌肉炎虽然很少见,但通常是病毒性,流感是常见的罪祸首.
- 越来越多的B型流感被认为是儿童急性肌肉炎的原因.
研究的目的:
- 要突出流感B相关肌肉炎作为儿科患者的关键差异诊断.
- 强调早期识别和实验室确认对于治疗急性肌肉炎的重要性.
- 介绍一个案例,说明流感B相关肌肉炎的临床和诊断特征.
主要方法:
- 一个9岁女孩的病例报告,发烧,咳和小腿疼痛.
- 临床检查显示,小牛的敏感性与正常的神经学发现.
- 实验室测试显示,鼻水垢中肌酸激酶 (8370U/L) 和阳性流感BRNA的升高.
主要成果:
- 患者出现了与急性肌肉炎相一致的症状.
- 肌酸激酶水平升高和超声波证实了显著的肌肉炎症.
- 流感B病毒RNA证实了病因,导致支持性护理和完全康复.
结论:
- 在流感季节肌肉疼痛的儿童中,应考虑与流感相关的肌肉炎.
- 早期的实验室确认可以防止不必要的调查,并指导治疗.
- 这一案例强调了需要考虑儿科急性肌肉炎的病毒原因.
相关概念视频
01:27Myocarditis II: Clinical Features and Diagnostic Tests
21
Myocarditis is an inflammation of the heart muscle. The symptoms vary widely, encompassing asymptomatic presentations to severe, acute manifestations.Clinical PresentationAsymptomatic cases: In some instances, myocarditis may be asymptomatic, with the infection resolving without intervention. These cases often go undetected unless discovered incidentally through diagnostic imaging or tests conducted for other reasons.General Early Symptoms: Early symptoms of myocarditis are non-specific and can...
21
01:21Myocarditis I: Introduction
30
Myocarditis is inflammation of the myocardium, which is the muscular layer of the heart.EtiologyMyocarditis has a diverse etiology, including a wide range of infectious and non-infectious causes:Infectious CausesViral: Common viruses include Coxsackie A and B, adenovirus, parvovirus B19, enteroviruses, and influenza A.Bacterial: Examples include infections caused by Streptococcus, Staphylococcus, and Mycoplasma species.Rickettsial: Infections like Rocky Mountain spotted fever can result in...
30
01:14Myocarditis III: Medical Management
16
Myocarditis: Comprehensive Medical ManagementMyocarditis, the heart muscle inflammation, requires a comprehensive medical management strategy that addresses the underlying cause, provides supportive care, manages symptoms, and reduces cardiac workload.Infections and Autoimmune CausesAdminister appropriate antimicrobial therapy when an infectious agent causes myocarditis. For instance, penicillin treats infections caused by Group A Streptococcus. In cases where autoimmune processes are...
16
01:30Acute Pharyngitis
1.6K
Introduction
Acute pharyngitis is the inflammation of the back of the throat (pharynx), commonly resulting in a sore throat. It is a frequently encountered condition that prompts individuals to seek medical advice.
Classification
Acute pharyngitis can be categorized based on its underlying cause:
Acute pharyngitis is the inflammation of the back of the throat (pharynx), commonly resulting in a sore throat. It is a frequently encountered condition that prompts individuals to seek medical advice.
Classification
Acute pharyngitis can be categorized based on its underlying cause:
1.6K
01:22Myocarditis IV: Nursing Management
26
Myocarditis is an inflammatory condition of the myocardium requiring meticulous nursing management for optimal patient outcomes. Effective management begins with a thorough assessment of the patient's medical history, paying close attention to past infections, autoimmune disorders, travel history, and exposure to toxins or drugs. Recent viral infections and systemic diseases are particularly relevant due to their potential role in triggering myocarditis.Physical Examination and MonitoringThe...
26