Rhabdomyolysis and coronavirus disease-2019 in children: A case report and review of the literature.

IF 1.9 4区 医学 Q2 PEDIATRICS Pediatric Investigation Pub Date : 2022-04-01 eCollection Date: 2022-06-01 DOI:10.1002/ped4.12320
Maria Kontou, Konstantinos Kakleas, Vaso Kimioni, Dimitra Georgiadi, Vasiliki Spoulou, Athanasios Michos
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Abstract

Introduction: Coronavirus disease-2019 (COVID-19) presents with a variety of symptoms, but rhabdomyolysis has rarely been reported in children.

Case presentation: We report a 10-year-old girl who presented with fever, myalgia, and limping. The patient was tested positive for severe acute respiratory syndrome coronavirus-2. On admission, creatine kinase (CK) level was 13 147 units per liter and the patient was diagnosed with rhabdomyolysis. She was treated with intravenous fluids, which resulted in CK levels decrease. There are currently seven case reports of children with rhabdomyolysis associated with acute COVID-19 infection and two reports with the multisystemic inflammatory syndrome.

Conclusion: Children presenting with muscle pain and weakness in the acute phase or following COVID-19 infection, should alert physicians of the possibility of rhabdomyolysis.

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儿童横纹肌溶解症和冠状病毒病-2019:病例报告和文献综述。
导言:冠状病毒病-2019(COVID-19)会出现多种症状,但很少有儿童横纹肌溶解症的报道:我们报告了一名因发热、肌痛和跛行而就诊的 10 岁女孩。患者的严重急性呼吸综合征冠状病毒-2 检测呈阳性。入院时,肌酸激酶(CK)水平为每升 13 147 单位,患者被诊断为横纹肌溶解症。她接受了静脉输液治疗,结果肌酸激酶水平有所下降。目前有七例儿童横纹肌溶解症与急性 COVID-19 感染有关的报道,两例与多系统炎症综合征有关的报道:结论:儿童在急性期或感染 COVID-19 后出现肌肉疼痛和无力时,医生应警惕横纹肌溶解症的可能性。
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来源期刊
Pediatric Investigation
Pediatric Investigation Medicine-Pediatrics, Perinatology and Child Health
CiteScore
3.30
自引率
0.00%
发文量
176
审稿时长
12 weeks
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