Abstract:Benign acute myositis occurs often in association with viral infection. In the present study, Dengue virus was positive in 20 (50%) children. Benign acute myositis can be differentiated from more serious causes of walking difficulty by presence of calf and thigh muscle tenderness on stretching, normal power and deep tendon reflex and elevated CPK.
“…The pain is particularly pronounced when the patient first gets up in the morning. In the etiology, there are often Influenza type A and B viruses, RSV, adenoviruses, HSV, EBV, or CMV [4,5]. In our case, we did not test these when forming the differential diagnosis because there were no symptoms suggestive of viral upper respiratory tract infection.…”
Section: Introductionmentioning
confidence: 88%
“…Since patients complain about an inability to walk, stand up, and step onto their feet, all families become extremely worried about their children and refer to the emergency departments of hospitals. Rajajee et al reported that cases of BACM are most frequently directed to the clinic with a preliminary diagnosis of GBS [5]. However, in GBS, a two-sided muscle weakness and pain moving upward is observed, decreased deep tendon reflexes are detected in physical examination, and serum CPK level is within normal limits.…”
Section: Introductionmentioning
confidence: 99%
“…However, in GBS, a two-sided muscle weakness and pain moving upward is observed, decreased deep tendon reflexes are detected in physical examination, and serum CPK level is within normal limits. The majority of patients with myositis associated with rotavirus are over 2 years of age [5]. On the other hand, most children with rotavirus gastroenteritis are under 2 years of age.…”
ÖzÇocukluk çağının akut selim miyoziti özellikle okul çağındaki genellikle erkek ço-cukları etkileyen, alt ekstremitenin distal kaslarını simetrik olarak tutarak yürüme güçlüğüne neden olan ve kendiliğinden düzelen bir klinik durumdur. Akut dönemde, ilerleyerek çocuğun yürümesini engellemesi ve ağrıya yol açmasıyla hekim ve ana babaları telaşlandırabilir. En sık influenza viruslarına bağlı olarak ortaya çıkmak-tadır. Ancak diğer virüsler ile de nadiren görülmektedir. Tipik laboratuvar bulgusu kreatinfosfokinaz düzeyindeki yükselmedir. Ayırıcı tanıda Guillain-Barré sendromu, müsküler distrofiler, dermatomiyozit, piyomiyozit ve büyüme ağrıları vardır.Bu yazıda 5,5 yaşındaki bir kız hastada rotavirüs enfeksiyonuna ikincil olarak gelişen akut myozit tablosu sunulmuştur.
Anahtar KelimelerRotavirüs Enfeksiyonları; Çocuk; Myozit; Gastroenterit; Komplikasyonlar
AbstractBenign acute childhood myositis usually affects males, especially school children, causes difficulty in walking by keeping the distal muscles of lower extremity symmetrically, and is a clinical condition that resolves spontaneously. In the acute stage, it can alarm the physician and the parents by blocking the child's walking and leading to pain. It arises most frequently due to influenza viruses, while it is rarely seen with other viruses. The typical laboratory finding is an increase in the level of keratin phosphokinase. The differential diagnosis includes Guillain-Barré syndrome, muscular dystrophy, dermatomyositis, pyomyositis, and growing pain. This paper presents an acute myositis case developing secondarily in a rotavirus infection in a 5.5-year-old female patient.
“…The pain is particularly pronounced when the patient first gets up in the morning. In the etiology, there are often Influenza type A and B viruses, RSV, adenoviruses, HSV, EBV, or CMV [4,5]. In our case, we did not test these when forming the differential diagnosis because there were no symptoms suggestive of viral upper respiratory tract infection.…”
Section: Introductionmentioning
confidence: 88%
“…Since patients complain about an inability to walk, stand up, and step onto their feet, all families become extremely worried about their children and refer to the emergency departments of hospitals. Rajajee et al reported that cases of BACM are most frequently directed to the clinic with a preliminary diagnosis of GBS [5]. However, in GBS, a two-sided muscle weakness and pain moving upward is observed, decreased deep tendon reflexes are detected in physical examination, and serum CPK level is within normal limits.…”
Section: Introductionmentioning
confidence: 99%
“…However, in GBS, a two-sided muscle weakness and pain moving upward is observed, decreased deep tendon reflexes are detected in physical examination, and serum CPK level is within normal limits. The majority of patients with myositis associated with rotavirus are over 2 years of age [5]. On the other hand, most children with rotavirus gastroenteritis are under 2 years of age.…”
ÖzÇocukluk çağının akut selim miyoziti özellikle okul çağındaki genellikle erkek ço-cukları etkileyen, alt ekstremitenin distal kaslarını simetrik olarak tutarak yürüme güçlüğüne neden olan ve kendiliğinden düzelen bir klinik durumdur. Akut dönemde, ilerleyerek çocuğun yürümesini engellemesi ve ağrıya yol açmasıyla hekim ve ana babaları telaşlandırabilir. En sık influenza viruslarına bağlı olarak ortaya çıkmak-tadır. Ancak diğer virüsler ile de nadiren görülmektedir. Tipik laboratuvar bulgusu kreatinfosfokinaz düzeyindeki yükselmedir. Ayırıcı tanıda Guillain-Barré sendromu, müsküler distrofiler, dermatomiyozit, piyomiyozit ve büyüme ağrıları vardır.Bu yazıda 5,5 yaşındaki bir kız hastada rotavirüs enfeksiyonuna ikincil olarak gelişen akut myozit tablosu sunulmuştur.
Anahtar KelimelerRotavirüs Enfeksiyonları; Çocuk; Myozit; Gastroenterit; Komplikasyonlar
AbstractBenign acute childhood myositis usually affects males, especially school children, causes difficulty in walking by keeping the distal muscles of lower extremity symmetrically, and is a clinical condition that resolves spontaneously. In the acute stage, it can alarm the physician and the parents by blocking the child's walking and leading to pain. It arises most frequently due to influenza viruses, while it is rarely seen with other viruses. The typical laboratory finding is an increase in the level of keratin phosphokinase. The differential diagnosis includes Guillain-Barré syndrome, muscular dystrophy, dermatomyositis, pyomyositis, and growing pain. This paper presents an acute myositis case developing secondarily in a rotavirus infection in a 5.5-year-old female patient.
“…1 In addition, trauma, severe exercise, drug reactions, metabolic disorders and status epilepticus cause rhabdomyolysis. Rhabdomyolysis is characterized with sudden muscle pain, inability to walk or difficulty in walking and elevated serum creatine phosphokinase (CPK).…”
Section: Introductionmentioning
confidence: 99%
“…Clinical and laboratory finding rare resolved spontaneously within one week. [1][2][3] Due to the clinical findings of rhabdomyolysis, differential diagnosis should be made with pyomyositis, muscular dystrophy, Guillain-Barre syndrome, transverse myelitis, meningitis and other diseases Recurrent rhabdomyolysis in a child. Case presentation such as postinfectious cerebellitis.…”
Viral myositis associated with infections rarely may cause rhabdomyolysis. There is no any pediatric case with severe recurrent rhabdomyolysis triggered by infections in the literature. We reported a two-year-old boy who was hospitalized three times due to severe rhabdomyolysis associated with viral myositis in the winter months. This is the first child case presentation with severe rhabdomyolysis triggered by infections. Prednisolone and intravenous immunoglobulin treatments were ineffective in this case.
Benign acute childhood myositis (BACM) is a syndrome classically occurring in children during the convalescent phase from a febrile upper respiratory tract infection, most commonly after influenza B. BACM can cause difficulty walking due to severe calf pain. Laboratory results show increased serum creatinine kinase and AST. Although alarming, BACM is self-limiting with symptoms disappearing within a week. Herein, we described a case series of BCAM in children in two cities in Poland during the influenza outbreaks in 2012/2013 and 2014/2015. We discussed the presentation and the clinical workup and examinations of the myositic syndrome. In addition, we evaluated the association of BACM with influenza B. We detected specific IgG against influenza B virus in 83% of the children diagnosed with BCAM. Reports from the National Institute of Public Health - National Institute of Hygiene in Warsaw, Poland confirmed a high rate of influenza B cases during both epidemic seasons in question.
scite is a Brooklyn-based organization that helps researchers better discover and understand research articles through Smart Citations–citations that display the context of the citation and describe whether the article provides supporting or contrasting evidence. scite is used by students and researchers from around the world and is funded in part by the National Science Foundation and the National Institute on Drug Abuse of the National Institutes of Health.