DOI QR코드

DOI QR Code

Benign Acute Childhood Myositis: Perplexing Complication after Acute Viral Pharyngitis

  • Choi, Sung-Won (Department of Otorhinolaryngology and Biomedical Research Institute, Pusan National University Hospital) ;
  • Ko, Hoon (Department of Pediatrics and Biomedical Research Institute, Pusan National University Yangsan Hospital)
  • 투고 : 2017.09.19
  • 심사 : 2017.10.12
  • 발행 : 2018.11.20

초록

Benign acute childhood myositis (BACM) is a rare transient condition that occurs in children during the early convalescent phase of a viral upper respiratory infection. BACM is self-limiting and characterized by sudden-onset bilateral calf pain that leads to difficulty in walking. We report a case of a 5-year-old boy with BACM who presented with acute-onset bilateral calf pain after a resolved episode of viral pharyngitis and subsequently refused to walk. With conservative treatment, the patient recovered completely after approximately 1 week. Although perplexing and challenging for clinicians unfamiliar with BACM, awareness of this rare clinical condition is essential to preventing unnecessary investigations and reassuring the patient and parents of its excellent prognosis.

키워드

과제정보

연구 과제 주관 기관 : Pusan National University Hospital

참고문헌

  1. Lundberg A. Myalgia cruris epidemica. Acta Paediatr 1957;46:18-31. https://doi.org/10.1111/j.1651-2227.1957.tb08627.x
  2. Koliou M, Hadjiloizou S, Ourani S, Demosthenous A, Hadjidemetriou A. A case of benign acute childhood myositis associated with influenza A (H1N1) virus infection. Clin Microbiol Infect 2010;16:193-5. https://doi.org/10.1111/j.1469-0691.2009.03064.x
  3. Rubin E, De la Rubia L, Pascual A, Dominguez J, Flores C. Benign acute myositis associated with H1N1 influenza A virus infection. Eur J Pediatr 2010;169:1159-61. https://doi.org/10.1007/s00431-010-1178-7
  4. Rennie LM, Hallam NF, Beattie TF. Benign acute childhood myositis in an accident and emergency setting. Emerg Med J 2005;22:686-8. https://doi.org/10.1136/emj.2004.015131
  5. Davis LE, Kornfeld M. Experimental influenza B viral myositis. J Neurol Sci 2001;187:61-7. https://doi.org/10.1016/S0022-510X(01)00526-3
  6. Farrell MK, Partin JC, Bove KE. Epidemic influenza myopathy in Cincinnati in 1977. J Pediatr 1980;96(3 Pt 2):545-51. https://doi.org/10.1016/S0022-3476(80)80864-X
  7. Mackay MT, Kornberg AJ, Shield LK, Dennett X. Benign acute childhood myositis: laboratory and clinical features. Neurology 1999;53:2127-31. https://doi.org/10.1212/WNL.53.9.2127
  8. Garcia J. MRI in inflammatory myopathies. Skeletal Radiol 2000;29:425-38. https://doi.org/10.1007/s002560000238
  9. Panghaal V, Ortiz-Romero S, Lovinsky S, Levin TL. Benign acute childhood myositis: an unusual cause of calf pain. Pediatr Radiol 2008;38:703-5. https://doi.org/10.1007/s00247-008-0785-1
  10. Heiner JD, Ball VL. A child with benign acute childhood myositis after influenza. J Emerg Med 2010;39:316-9. https://doi.org/10.1016/j.jemermed.2008.12.021

피인용 문헌

  1. Acute Kidney Injury Among Children Admitted With Viral Rhabdomyolysis vol.11, pp.8, 2018, https://doi.org/10.1542/hpeds.2020-005108