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2016, Number 1

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Rev Cubana Pediatr 2016; 88 (1)

Myositis in pediatric patients with positive anti-dengue M immunoglobulin

Acosta TJ, Consuegra OA, Bello CJ, Acosta BJ

Language: Spanish
References: 21
Page: 67-73
PDF size: 75.47 Kb.


ABSTRACT

Introduction: benign acute childhood myositis is a infrequent, transient and selflimited process that mainly affects children at school age after viral infections.
Objective: to disseminate information on this form of presentation of a type of virosis and to contribute to its correct diagnosis.
Methods: thirteen patients admitted to the teaching pediatric hospital of Cerro with febrile syndrome during 2013 were studied. They showed positive anti-dengue M immunoglobuline, functional impotence and creatinin-phosphokinase over 190 µl. Several demographic and clinical elements as well as enzyme levels were assessed and the average statistic was applied.
Results: most frequent signs and symptoms in all the patients were reduced muscle strength, intense pain to gastrocnemy muscle pressure and dorsal flexion of both feet. The retroocular pain and rash occurred regardless of sex. The average age was 11 years. The heart and respiratory rate and blood pressure figures were all normal. The duration of clinical systems had an arithmetic mean of 4 days. Leukocyte count reached averages of 6 000 x 109/l; platelets showed 170 000 x 109/L; hematocrit reached 37 vol/% and creatinine-phosphokinase was 217 µl.
Conclusions: intense muscular pain with functional impotence at the lower limbs accompanied by high creatinin-phosphokinase figures in patients with positive antidengue M immunoglobulin confirms the diagnosis of viral myositis in the course of this arbovirosis. It is commented that there has been no report on this disease in Cuba so far, so it is timely to provide the present communication in order to contribute to dissemination of information about this entity.


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