Severe Parvovirus B19-Associated Myocarditis in Children in the Post-COVID-19 Era: A Multicenter Observational Cohort Study.

IF 3.8 4区 医学 Q2 IMMUNOLOGY
Open Forum Infectious Diseases Pub Date : 2025-04-11 eCollection Date: 2025-05-01 DOI:10.1093/ofid/ofaf224
Neal Russell, James Hatcher, Tim Best, Judith Breuer, James Charlesworth, Peter Muir, Barry Vipond, Stephane Paulus, Rohit Saxena, Jacob Simmonds, Stefania Vergnano, Peter Davis, Seilesh Kadambari
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引用次数: 0

Abstract

This study describes a cluster of severe parvovirus B19-associated myocarditis cases in children across England in the context of an increase in circulating virus. Cases were identified across 3 large children's centers. Eight cases presented from 1 January 2019 to 31 December 2023 as compared with 19 from 1 January 2024 to 31 August 2024. Almost all (n = 25, 93%) required intensive care, and 24 (88%) received inotropes and 4 (15%) extracorporeal membrane oxygenation. Myocarditis appears to be temporally associated and a late sequela of parvovirus B19, resulting in high rates of intensive care unit admission. Testing with serology and blood polymerase chain reaction should be part of a syndromic screen for all children with severe myocarditis.

后covid -19时代儿童严重细小病毒b19相关心肌炎:一项多中心观察队列研究
本研究描述了在循环病毒增加的背景下,英格兰儿童中发生的一系列严重细小病毒b19相关心肌炎病例。在3个大型儿童中心发现了病例。2019年1月1日至2023年12月31日期间出现8例,而2024年1月1日至2024年8月31日期间出现19例。几乎所有患者(n = 25, 93%)都需要重症监护,24例(88%)接受了肌力治疗,4例(15%)接受了体外膜氧合治疗。心肌炎似乎是暂时相关的,是细小病毒B19的晚期后遗症,导致重症监护病房住院率很高。血清学和血液聚合酶链反应检测应作为所有重症心肌炎患儿综合征筛查的一部分。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Open Forum Infectious Diseases
Open Forum Infectious Diseases Medicine-Neurology (clinical)
CiteScore
6.70
自引率
4.80%
发文量
630
审稿时长
9 weeks
期刊介绍: Open Forum Infectious Diseases provides a global forum for the publication of clinical, translational, and basic research findings in a fully open access, online journal environment. The journal reflects the broad diversity of the field of infectious diseases, and focuses on the intersection of biomedical science and clinical practice, with a particular emphasis on knowledge that holds the potential to improve patient care in populations around the world. Fully peer-reviewed, OFID supports the international community of infectious diseases experts by providing a venue for articles that further the understanding of all aspects of infectious diseases.
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