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Deprecated: Implicit conversion from float 217.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534 Acta+Neurol+Belg 2022 ; 122 (4): 1043-1047 Nephropedia Template TP
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From influenza to SARS-CoV-2: etiological evaluation of acute benign childhood myositis #MMPMID34427875
Tekin E; Akoglu HA
Acta Neurol Belg 2022[Aug]; 122 (4): 1043-1047 PMID34427875show ga
AIM: To present the etiological evaluation results of our acute benign childhood myositis cases. MATERIALS AND METHODS: Children, who were referred to pediatric neurology outpatient clinic in Maternity and Children's Hospital, with difficulty in walking and high creatinine kinase levels were evaluated. Viral and bacterial serological evaluation of children were performed by real-time polymerase chain reaction method. RESULTS: Twenty-five children (21 M,4 F) included in the study. The most common complaints were walking difficulty and tenderness, pain on the gastrocnemius muscles. Their creatine kinase levels were between 216 and 8770 IU. Twenty-two children were hospitalized. Analgesic, intravenous fluid, antibiotic and/or antiviral drugs were given. The most common etiologies were influenza A and B. One children was diagnosed as suspected COVID-19 by the symptoms and the findings in thorax computerized tomography but the SARS-CoV-2 PCR and antibody tests were negative. CONCLUSION: School-aged children admitted to hospital with walking difficulty generally after an upper respiratory tract infection with a moderate creatine kinase elevation should remind at first acute benign myositis. Resolution of the complaints in a short time and normalisation of the biochemical markers will prevent unnecessary tests. Endemic and pandemic infections may cause this entity as well.