在尤卡坦州的一家医院接受治疗的儿童的多系统炎症综合征
Miguel A Gamboa Gamboa1, Cecilia C Polanco-Cab1, Fortino Solórzano-Santos2
1Departamento de Pediatría, Clínica de Mérida, Mérida, Yucatán.
概括
儿童多系统炎症综合征 (MIS-C) 主要影响墨西哥东南部五岁以下的儿童,出现胃肠道和心血管症状. 在这个儿科群体中,冠状动脉瘤很少被观察到.
科学领域:
- 儿科 儿科 儿科
- 传染性疾病 传染性疾病
- 公共卫生 公共卫生
背景情况:
- 儿童多系统炎症综合征 (MIS-C) 是一种罕见但严重的疾病.
- 关于墨西哥东南部的MIS-C的数据有限.
- 这项研究解决了这个特定地区对MIS-C理解的差距.
研究的目的:
- 描述MIS-C.的临床和流行病学特征.
- 报告来自于尤卡坦州梅里达的一家私人医院的发现.
- 在以前未经记录的领域,为MIS-C的理解做出贡献.
主要方法:
- 18岁以下的儿科患者的回顾性,描述性病例系列.
- 研究期:2021年1月至2024年3月.
- 纳入标准:MIS-C诊断,通过PCR,血清学或COVID-19暴露证实.
主要成果:
- 确定了70例MIS-C病例,84%需要住院治疗.
- 大多数受影响的儿童年龄在5岁以下 (74.58%),男性占主导地位 (61%).
- 主要症状包括胃肠道 (68.5%) 和心血管 (68.5%);冠状动脉瘤发生在8.5%.
结论:
- 在这个队列中,MIS-C主要影响了五岁以下的儿童.
- 胃肠道和心血管症状是最常见的.
- 在这个系列中,冠状动脉瘤的发病率特别低.
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