关键词: children covid-19 fever hemorrhagic myelitis sars-cov2

来  源:   DOI:10.7759/cureus.20553   PDF(Pubmed)

Abstract:
Coronavirus disease 2019 (COVID-19) infection is considered a multisystem disease rather than solely affecting the respiratory system. In addition, many reports have described neurological manifestations of this disease; yet reports on spinal cord involvement, especially in pediatrics, are still limited. We describe a case of a 15-year-old male with COVID-19, who presented with sudden paraplegia and urinary incontinence, preceded by a two-day history of fever. Upon clinical and radiological assessment, he was diagnosed with acute hemorrhagic myelitis. A remarkable motor improvement upon a nine-month follow-up was perceived. Our case illustrates that serious complications can arise even though COVID-19 causes milder disease in pediatrics. We advocate for vaccinating the pediatric population to prevent such occurrences.
摘要:
2019年冠状病毒病(COVID-19)感染被认为是一种多系统疾病,而不仅仅影响呼吸系统。此外,许多报道描述了这种疾病的神经系统表现;然而,关于脊髓受累的报道,尤其是在儿科,仍然有限。我们描述了一例患有COVID-19的15岁男性,他突然出现截瘫和尿失禁,之前有两天的发烧史。经过临床和放射学评估,他被诊断为急性出血性脊髓炎。在9个月的随访中,运动得到了显着改善。我们的案例表明,即使COVID-19在儿科中引起轻度疾病,也可能出现严重的并发症。我们主张为儿科人群接种疫苗以防止此类事件发生。
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