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2020, Number 3

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Rev Cubana Pediatr 2020; 92 (3)

Epidemic mild acute myosistis due to influenza in pediatric patients

Acosta TJ, Rodríguez PM, Álvarez EY, Pérez CM

Language: Spanish
References: 24
Page: 1-14
PDF size: 622.48 Kb.


ABSTRACT

Introduction: Children mild acute myositis is a transitory complication of the flu caused by the influenza A or B viruses which presents in school patients.
Objectives: To contribute to spread the characteristics of children mild acute miositis in the medical staff.
Methods: Descriptive cross-sectional research in 18 patients with ages under the 19 years that were attented with a diagnosis of the disease in “Cerro” Pediatric Teaching Hospital from October 1st to December 31st, 2019. There were taken blood samples to do enzymatic and hematologic studies, antidengue antibodies determination and nasopharinx exudates looking for respiratory viruses. SSPS version 19 program was used. The results were expressed in absolute values, percentages, averages and standard deviation.
Results: There was predomiance of the ages from 5 to 14 years (88%), male sex (72.2%) and living in Cerro and 10 de octubre municipalities (55,5% and 22,2%, respectively). The most frquent type of abnormal walk was the Frankenstein with an average leukocytes count of 7.01 109 ± 2.16; lymphocytea of 53.3%; and an average of creatinine fosfoquinase 591 μl L ± 435.74. All the patients recovered. The influenza B virus was identified in 77.7% of the samples.
Conclusions: Myositis represented a complication by influenza viruses, mainly the type B, in school male patients who showed disorders in the walk, normal neurologic examination and high creatinine phosphokinase. All the patients recovered in the first 3 days after the onset of the disease.


REFERENCES

  1. Yorulmaz A, Ağır MA, Arslan Ş. Benign Acute Childhood Myositis Associated with Influenza A (H1N1) Virus Infection: Evaluation of 22 Cases. J Pediatric Infect Dis. 2019 [acceso 18/12/2019];14(03):127-32 Disponible en: https://link.springer.com/article/10.1186/s12887-019-1862-3

  2. Hernández Padrón ML, Vargas Latorre JR, Ortegón-Ochoa S, Naranjo-Medina N, Pacheco B. Miositis viral, reporte de un caso pediátrico. Arch Argent Pediatr. 2019 [acceso 05/01/2020];117(5):493-6 Disponible en: https://www.sap.org.ar/docs/publicaciones/archivosarg/2019/v117n5a18.pdf

  3. Magee H, Goldman RD. Viral myositis in children. Can Fam Physic. 2017 [acceso 03/012020];63(5):365-8 Disponible en: https://www.ncbi.nlm.nih.gov/pubmed/28500193

  4. Lundberg A. Myalgia cruris epidémica. Acta Paediatr. 1957;46:18-31.

  5. Middleton P, Alexander R, Szymanski M. Severe myositis during recovery from influenza. Lancet. 1970;296(7672):533-5.

  6. Yoon JW, Choi DY, Lee SH, Sin SR, Yu ST. Analysis of Clinical Manifestations and Laboratory Findings in Children with Influenza B-Associated Myositis: A Single Center Study. Korean J Fam Med. 2018 [acceso 10/01/2020];39(1):37-41. Disponible en: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5788844/.

  7. Rosenberg T, Heitner S, Scolnik D, Ben-Adiva EL, Rimon A, Glatstein M. Outcome of benign acute childhood myositis: The experience of 2 large tertiary care pediatric hospitals. Pediatric Emerg Care. 2018;34(6):400-2. doi: https://doi.org/10.1002/ccr3.2001.

  8. Agyeman P, Duppenthaler A, Heininger U, Aebi C. Influenza-Associated Myositis in Children. Infection. 2004 [acceso 20/10/2019];32(4):199-203 doi: https://doi.org/10.1007/s15010-004-4003-2.

  9. 9.Steinson AC, Mubashar T, Janzen AF, Poulton D, Paul SP. Benign acute childhoodmyositis: importance of early recognition. Br J Nurs. 2019 [acceso 12/01/2020];28(9):560-4 Disponible en: https://www.magonlinelibrary.com/doi/abs/10.12968/bjon.2019.28.9.560

  10. Chu EC, Yip AS. A rare presentation of benign acute childhood myositis. Clin CaseRep. 2019 [acceso 17/01/2020];7(3):461-4 Disponible en: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6406135/

  11. Al-Qahtani MH, Salih AM, Yousef AA. Benign acute childhood myositis in the easternregion of Kingdom of Saudi Arabia; a 5-year experience. J Taibah University Med Sci. 2015 [acceso 12/10/2019];10(2):197-200 Disponible en: https://www.sciencedirect.com/science/article/pii/S1658361214001267

  12. Cavagnaro F, Harwardtb I, Aird GA, Marambio QG. Miositis aguda benigna de lainfancia. Serie clínica y revisión de la literatura. Rev Chil Pediatr. 2016 [acceso 03/01/2020];87(1):1-6. doi: http://dx.doi.org/10.1016/j.rchipe.2016.07.002.

  13. Acosta Torres J, Consuegra Otero C, Bello Castillo J, Acosta Batista J. Miositis enpacientes pediátricos con inmunoglobulina M antidengue positiva. Rev Cubana Pediatr. 2016 [acceso 05/01/2020];88(1):67-73. Disponible en: http://www.scielo.sld.cu/scielo.php?script=sci_arttext&pid=S0034-75312016000100008

  14. dRubín E, de la Rubia L, Pascual A, Domínguez J, Flores C. Benign acute myositisassociated with H1N1 influenza A virus infection. Eur J Pediatr. 2010 [acceso 12/10/2019];169(9):1159-61. Disponible en: https://www.link.springer.com/article/10.1007/s00431-010-1178-7

  15. Szenborn L, Toczek-Kubicka K, Zaryczański J, Marchewka-Kowalik M, Miśkiewicz K,Kuchar E. Benign Acute Childhood Myositis During Influenza B Outbreak. Current Concepts Med Res Pract. 2018 [acceso 12/10/2020]:29-34. doi: https://doi.org/10.1007/5584_2017_79.

  16. Mackay M, Kornberg A, Shield L, Dennett X. Benign acute childhood myositis:laboratory and clinical features. Neurology. 1999;53(9):21-7.

  17. Capoferri G, Milani GP, Ramelli GP, Ferrarini A, Bianchetti MG, Lava SA. Sporadicacute benign calf myositis: Systematic literature review. Neuromusc Dis. 2018 [acceso 03/11/2019];28(5):443-9. Disponible en: https://www.sciencedirect.com/science/article/abs/pii/S0960896617314608

  18. Hlaváčová A, Krbková L, Čapovová I, Klapačová L, Jirsenska Z, Ryzi M, et al. Benignacute childhood myositis as a complication of influenza B and its differential diagnosis. Ind J Infect Dis. 2015 [acceso 12/10/2019];64(4):236-41. Disponible en: https://www.europepmc.org/article/med/26795228

  19. Benveniste O, Musset L. Making the Diagnosis of Myositis: Laboratory Testing in Myositis. In: Aggarwal R, Oddis C, editores. Managing Myositis. Washington, D. C.: Springer International Publishing; 2020. p. 161-6. [acceso 05/03/2020]. Disponible en: https://www.link.springer.com/chapter/10.1007/978-3-030-15820-0_17#citeas

  20. García Ros M, Núñez Giralda A, Delgado Fuente E. Miositis viral aguda: a propósito de ocho casos. Rev Pediatr Aten Primaria. 2017 [acceso 12/10/2019];19:363-5. Disponible en: http://www.scielo.isciii.es/scielo.php?pid=S1139-76322017000500009&script=sci_arttext&tlng=pt

  21. Oh YN, Kim S, Choi YB, Woo SI, Hahn Y-S, Lee JK. Clinical similarities between influenza A and B in children: a single-center study, 2017/18 season, Korea. BMC Pediatr. 2019 [acceso 20/12/2019];19(1):472. Disponible en: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6889424/

  22. Crum-Cianflone N. Nonbacterial Myositis. Curr Infect Dis Rep. 2010 [acceso1 2/10/2019];12:374-82. Disponible en: https://www.link.springer.com/article/10.1007/s11908-010-0118-z

  23. Boehler JF, Horn A, Novak JS, Li N, Ghimbovschi S, Lundberg IE, et al. Mitochondrial dysfunction and role of harakiri in the pathogenesis of myositis. J Pathol. 2019 [acceso 05/01/2020];249(2):215-26. Disponible en: https://www.onlinelibrary.wiley.com/doi/abs/10.1002/path.5309

  24. Sham C, Tse K. Review of children diagnosed with acute myositis of calves admitted to a regional hospital in Hong Kong in the period 2003-2012. HK J Paediatr (new series). 2015 [acceso 05/01/2020];20:145-50. Disponible en: http://www.hkjpaed.org/details.asp?id=1012&show=1234




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