A crawling case of benign acute childhood myositis

Alexis V. Hyczko, Mary Katherine Rohrbaugh, Alawia K. Suliman, Nicole M. Hackman

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Abstract

Benign acute childhood myositis is a relatively uncommon complication of viral illness, particularly influenza A and B infections. In this abstract, we present a case report of benign acute childhood myositis secondary to influenza. On presentation, he was ill-appearing, febrile and had significant calf pain that limited mobility. Examination revealed mildly erythematous throat and bilateral calf tenderness with pain on dorsiflexion bilaterally. A respiratory virus panel was positive for influenza A subtype H3 and he was found to have an elevated creatine phosphokinase. He was diagnosed with benign acute childhood myositis secondary to influenza type A infection and symptoms gradually resolved following supportive management. Management involves oral hydration, pain management, and follow-up to ensure resolution. Extensive laboratory evaluation and hospitalization are often unnecessary. Benign acute childhood myositis is self-limiting with an excellent prognosis and should be included in the differential for a child who develops difficulty walking, particularly when presentation follows a respiratory infection.

Original languageEnglish (US)
JournalSAGE Open Medical Case Reports
Volume9
DOIs
StatePublished - 2021

All Science Journal Classification (ASJC) codes

  • Medicine(all)

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