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Benign acute childhood myositis: Clinical series and literature review

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  • Benign acute childhood myositis: Clinical series and literature review

    Rev Chil Pediatr. 2016 Aug 16. pii: S0370-4106(16)30083-3. doi: 10.1016/j.rchipe.2016.07.002. [Epub ahead of print]
    [Benign acute childhood myositis: Clinical series and literature review].

    [Article in Spanish]
    Cavagnaro S M F1, Harwardt I2, Aird G A3, Marambio Q CG3.
    Author information

    Abstract

    Benign acute childhood myositis (BACM) is a rare clinical condition that mainly affects pre-school and school age-children. It is usually preceded by a viral illness, particularly influenza virus infection.
    OBJECTIVE:

    To describe a cluster of BACM cases that were seen in a paediatric unit.
    PATIENTS AND METHODS:

    A retrospective series of cases that presented with a clinical picture suggestive of BACM between August and November 2012 in the paediatric emergency department of a private clinic.
    RESULTS:

    Nine children, between 4 and 12 years, presented with a history of a recent febrile upper viral respiratory infection, followed by intense calf pain and claudication. They all recovered without complications. Laboratory results showed a marked increase in CK, with a mean of 4,066 IU/l. Three of the cases had influenza B infection and one Mycoplasma pneumonia infection. They were managed conservatively with hydration and non-steroidal anti-inflammatory drugs.
    CONCLUSIONS:

    BACM is a benign entity with a characteristic clinical presentation that can be managed most of the time in the ambulatory setting, avoiding invasive studies and unnecessary hospital admission.
    Copyright ? 2016 Sociedad Chilena de Pediatr?a. Publicado por Elsevier Espa?a, S.L.U. All rights reserved.


    KEYWORDS:

    Children; Claudicaci?n; Influenza; Limp; Miositis viral; Ni?os; Viral myositis

    PMID: 27542581 DOI: 10.1016/j.rchipe.2016.07.002
    [PubMed - as supplied by publisher] Free full text
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