Case report: Presentations and cytokine profiles of inflammatory non-pulmonary COVID-19 and related diseases in children

被引:0
|
作者
Chao, Yen-Chun [1 ,2 ,3 ]
Yang, Horng-Woei [4 ]
Chang, Lung [2 ,3 ,4 ,5 ]
Tseng, Chih-Wen [4 ]
Fang, Li-Ching [2 ,3 ,4 ,6 ]
Ho, Che-Sheng [2 ,3 ,7 ]
Chi, Hsin [2 ,3 ,4 ,5 ]
Yang, Kuender D. [2 ,4 ,6 ,8 ,9 ]
机构
[1] MacKay Childrens Hosp, Div Cardiol, Taipei, Taiwan
[2] Mackay Mem Hosp, Dept Pediat, Taipei, Taiwan
[3] Mackay Med Coll, Dept Med, Taipei, Taiwan
[4] Mackay Mem Hosp, Dept Med Res, Taipei, Taiwan
[5] MacKay Childrens Hosp, Div Infect Dis, Taipei, Taiwan
[6] MacKay Childrens Hosp, Div Allergy Immunol Rheumatol, Taipei, Taiwan
[7] MacKay Childrens Hosp, Div Neurol, Taipei, Taiwan
[8] Natl Yang Ming Chiao Tung Univ, Inst Clin Med, Taipei, Taiwan
[9] Natl Def Med Ctr, Dept Microbiol & Immunol, Taipei, Taiwan
来源
FRONTIERS IN PEDIATRICS | 2023年 / 11卷
关键词
coronavirus disease 2019; non-pulmonary COVID-19; meningoencephalitis; acute necrotizing encephalopathy; multisystem inflammatory syndrome in children; SARS-CoV-2; VACCINATION;
D O I
10.3389/fped.2023.1209772
中图分类号
R72 [儿科学];
学科分类号
100202 ;
摘要
The coronavirus disease 2019 (COVID-19) pandemic has evolved to dynamic waves of different SARS-CoV-2 variants. Initially, children diagnosed with COVID-19 presented pulmonary involvement characterized by mild diseases. In the later waves of the COVID-19 pandemic, life-threatening non-pulmonary inflammatory diseases such as (1) aseptic meningoencephalitis (ME), (2) acute necrotizing encephalopathies (ANE), and (3) multisystem inflammatory syndrome in children (MIS-C) have been reported, affecting the pediatric population. To alert timely identification and prevention of the life-threatening non-pulmonary COVID-19, we present the cases of ME, ANE, and MIS-C in terms of clinical manifestation, cytokine profile, and follow-up consequences. Based on the immunopathogenesis and risk factors associated with non-pulmonary COVID-19, we delineate strategies for an early diagnosis and treatment to reduce morbidity and mortality in children.
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页数:7
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