Assuntos
Artrite Infecciosa/virologia , Gastroenterite/virologia , Infecções por Rotavirus/virologia , Rotavirus/isolamento & purificação , Doença Aguda , Anti-Inflamatórios não Esteroides/uso terapêutico , Artrite Infecciosa/diagnóstico , Artrite Infecciosa/tratamento farmacológico , Pré-Escolar , Humanos , MasculinoRESUMO
Systemic polyarteritis nodosa (PAN) is a rare disease in childhood affecting small and midsized arteries. The typical presentation in children is of isolated 1- or 2-organ involvement, and the diagnosis is often based on the histopathology. We report a case of pediatric PAN whose presenting symptom was jejunal obstruction owing to ischemic necrosis of the small bowel. The postoperative recovery was uneventful, and the patient responded well to steroid therapy. There are only a few cases of PAN with intestinal involvement described in the literature, some of them fatal. The diagnosis of PAN should be considered in children with acute intestinal obstruction with no obvious etiology, as early recognition and treatment may reduce its high mortality.
Assuntos
Obstrução Intestinal/etiologia , Isquemia/complicações , Doenças do Jejuno/etiologia , Jejuno/irrigação sanguínea , Poliarterite Nodosa/complicações , Dor Abdominal/etiologia , Anastomose Cirúrgica , Antirreumáticos/uso terapêutico , Terapia Combinada , Febre/etiologia , Humanos , Lactente , Obstrução Intestinal/cirurgia , Doenças do Jejuno/cirurgia , Jejuno/patologia , Masculino , Metilprednisolona/uso terapêutico , Necrose , Poliarterite Nodosa/diagnóstico , Poliarterite Nodosa/tratamento farmacológico , Poliarterite Nodosa/cirurgia , Úlcera/etiologia , Vômito/etiologiaRESUMO
We report a case of an immunocompetent child with acute rotavirus gastroenteritis who developed an acute liver damage during infection. Acute rotavirus-related hepatitis has been previously described in immunodeficient children, but never in a normal child.
