Role of Lung Ultrasonography (LUS) as a Tool for Evaluating Children with Pediatric Inflammatory Multisystem Syndrome Temporally Associated with SARS-CoV-2 (PIMS-TS)

被引:1
作者
Tomczonek-Morus, Jolanta [1 ]
Krysiak, Natalia [1 ]
Blomberg, Agnieszka [1 ]
Depczyk-Bukala, Marta [1 ]
Tkaczyk, Marcin [1 ,2 ]
Zeman, Krzysztof [1 ,2 ]
机构
[1] Inst Polish Mothers Mem Hosp Lodz Poland, Dept Pediat Immunol & Nephrol, PL-93338 Lodz, Poland
[2] Med Univ Lodz, Dept Pediat Nephrol & Immunol, PL-90151 Lodz, Poland
关键词
lung ultrasound; PIMS-TS; MIS-C; pneumonia; intensive care; children; adolescents;
D O I
10.3390/jcm12082850
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Background: Pediatric inflammatory multisystem syndrome temporally associated with SARS-CoV-2 (PIMS-TS) is a novel entity. The inflammatory process involves the circulatory, digestive, respiratory, and central nervous systems, as well as the skin. Making a diagnosis requires extensive differential diagnoses, including lung imaging. The aim of our study was to retrospectively assess the pathologies found in lung ultrasound (LUS) in children diagnosed with PIMS-TS and to evaluate the usefulness of the examination in diagnostics and monitoring. Methods: The study group consisted of 43 children diagnosed with PIMS-TS, in whom LUS was performed at least three times, including on admission to hospital, on discharge, and 3 months after disease onset. Results: Pneumonia (mild to severe) was diagnosed in 91% of the patients based on the ultrasound image; the same number had at least one pathology, including consolidations, atelectasis, pleural effusion, and interstitial or interstitial-alveolar syndrome. By the time of discharge, the inflammatory changes had completely regressed in 19% of the children and partially in 81%. After 3 months, no pathologies were detected in the entire study group. Conclusion: LUS is a useful tool for diagnosing and monitoring children with PIMS-TS. Inflammatory lesions of the lungs resolve completely when the generalized inflammatory process subsides.
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页数:7
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