Outbreak of paediatric myocarditis associated with parvovirus B19 infection in Italy, January to October 2024

被引:1
|
作者
Poeta, Marco [1 ,2 ]
Moracas, Cristina [2 ,3 ]
Carducci, Francesca Ippolita Cale [4 ]
Cafagno, Claudio [5 ]
Buonsenso, Danilo [6 ]
Maglione, Marco [7 ]
Sgubbi, Sofia [8 ]
Liberati, Cecilia [9 ]
Venturini, Elisabetta [10 ]
Limongelli, Giuseppe [11 ]
Nunziata, Felice [12 ]
Petrarca, Laura [13 ]
Mandato, Claudia [14 ]
Colomba, Claudia [15 ]
Guarino, Alfredo [1 ,2 ]
机构
[1] Univ Naples Federico II, Dept Translat Med Sci, Naples, Italy
[2] Univ Hosp Federico II, Dept Maternal & Child Hlth, Pediat Infect Dis Unit, Naples, Italy
[3] Univ Pavia, PhD Natl Program One Hlth Approaches Infect Dis &, Dept Publ Hlth Expt & Forens Med, Pavia, Italy
[4] IRCCS, Bambino Gesu Childrens Hosp, Infect Dis Unit, Rome, Italy
[5] Azienda Osped Univ Consorziale Policlin Bari, Childrens Hosp Giovanni XXIII, Infect Dis, Bari, Italy
[6] Fdn Policlin Univ A Gemelli IRCCS, Dept Woman & Child Hlth & Publ Hlth, Rome, Italy
[7] Santobono Pausilipon Children Hosp, Paediat Emergency Dept, Naples, Italy
[8] Fdn IRCCS Policlin San Matteo, Diagnost & Pediat Sci Inst Dermatol, Pavia, Italy
[9] Univ Padua, Dept Womens & Childrens Hlth, Div Pediat Infect Dis, Padua, Italy
[10] Meyer Childrens Hosp IRCCS, Infect Dis Unit, Florence, Italy
[11] Univ Campania Luigi Vanvitelli, Monaldi Hosp, Dept Translat Med Sci, Inherited & Rare Cardiovasc Dis, Naples, Italy
[12] AORN St Anna & San Sebastiano, Dept Pediat, Caserta, Italy
[13] Sapienza Univ Rome, Dept Maternal Infantile & Urol Sci, Rome, Italy
[14] Univ Salerno, Scuola Med Salernitana, Dept Med Surg & Dent, Salerno, Italy
[15] Univ Palermo, Internal Med & Med Specialties, Dept Hlth Promot Mother & Child Care, Palermo, Italy
关键词
D O I
10.2807/1560-7917.ES.2024.29.48.2400746
中图分类号
R51 [传染病];
学科分类号
100401 ;
摘要
Acute myocarditis has risen among paediatric patients in Italy, with 65 clinically suspected cases reported by 12 centres in 2024, 32 linked to parvovirus B19 (B19V) infection. In 11 cases, B19V was not ruled out despite a concurrent European outbreak. Twenty-nine children required intensive care; eight fatalities occurred. While effective for both severe B19V infection and myocarditis, intravenous immunoglobulins were given in only one-third of cases. These findings highlight the need for timely diagnosis, stronger surveillance, and standardised treatment protocols.
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页数:7
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