Clinical and laboratory properties of pediatric acute infectious myositis: Evaluation of 26 patients Pedıatrık akut enfeksıyöz mıyozıtlerın klınık ve laboratuvar özellıklerı: 26 hastanin değerlendırılmesı
Guncel Pediatri, cilt.18, sa.1, ss.95-103, 2020 (ESCI, Scopus)
- Yayın Türü: Makale / Tam Makale
- Cilt numarası: 18 Sayı: 1
- Basım Tarihi: 2020
- Dergi Adı: Guncel Pediatri
- Derginin Tarandığı İndeksler: Emerging Sources Citation Index (ESCI), Scopus, Academic Search Premier, CAB Abstracts, CINAHL, EMBASE, Veterinary Science Database
- Sayfa Sayıları: ss.95-103
- Anahtar Kelimeler: Infectious, Myositis, Viral
- Sağlık Bilimleri Üniversitesi Adresli: Evet
Özet
INTRODUCTION: Inflammatory myopathies can be defined in two groups as infectious and idiopathic myopathies. Infectious myositis, in which active agent can be detected, is a benign condition that usually occurs spontaneously in childhood, characterized by generalized muscle pain and difficulty in walking. The aim of this study is to provide the clinical features of our pediatric patients with acute myositis. MATERIALS and METHODS: A total of 26 patients with acute infectious and idiopathic myositis who were admitted to Health Sciences University Ankara Dr Sami Ulus Maternity, Child Health and Diseases Training and Research Hospital, pediatric neurology outpatient clinic for the last 5 years were retrospectively reviewed. RESULTS: The patients with the mean age of 79.6 months, who had a sudden onset of muscle pain and difficulty in walking with a recent history of upper respiratory tract infection in 73.1% (n: 19) were evaluated. The mean creatine phosphokinase levels were 2596 IU / L. Infectious agents were detected in 7 patients (26.9%). These factors were influenza B (n = 3), group A beta hemolytic streptococci (n = 2), influenza A / H1N1 (n = 1) and Mycoplasma pneumoniae (n = 1). One patient was diagnosed as Escherichia coli induced urinary sepsis and 1 patient was diagnosed as sepsis due to Methicillin- resistant Staphylococcus aureus Most of the patients started to recover within 48 hours, but the mean duration of healing was 8.31 ± 5.8 days. CONCLUSIONS: Acute inflammatory myositis in childhood, which should be recognized rapidly due to the diseases requiring urgent treatment in the differential diagnosis, close follow-up in terms of the risk of rhabdomyolysisis, is usually resulted with a good prognosis important.