A large outbreak of influenza B-associated benign acute childhood myositis in Germany, 2007/2008.
Identifieur interne : 000310 ( Main/Exploration ); précédent : 000309; suivant : 000311A large outbreak of influenza B-associated benign acute childhood myositis in Germany, 2007/2008.
Auteurs : Sabine Mall [Allemagne] ; Udo Buchholz ; Daniel Tibussek ; Annette Jurke ; Matthias An Der Heiden ; Sabine Diedrich ; Brunhilde Schweiger ; Katharina AlpersSource :
- The Pediatric infectious disease journal [ 1532-0987 ] ; 2011.
Descripteurs français
- KwdFr :
- Adolescent (MeSH), Allemagne (épidémiologie), Enfant (MeSH), Enfant d'âge préscolaire (MeSH), Enquêtes et questionnaires (MeSH), Femelle (MeSH), Grippe humaine (complications), Grippe humaine (épidémiologie), Humains (MeSH), Myosite (anatomopathologie), Myosite (virologie), Myosite (épidémiologie), Mâle (MeSH), Nourrisson (MeSH), Virus influenza B (isolement et purification), Épidémies de maladies (MeSH), Études prospectives (MeSH), Études rétrospectives (MeSH).
- MESH :
- anatomopathologie : Myosite.
- isolement et purification : Virus influenza B.
- virologie : Myosite.
- épidémiologie : Allemagne, Grippe humaine, Myosite.
- Adolescent, Enfant, Enfant d'âge préscolaire, Enquêtes et questionnaires, Femelle, Humains, Mâle, Nourrisson, Épidémies de maladies, Études prospectives, Études rétrospectives.
- Wicri :
- geographic : Allemagne.
English descriptors
- KwdEn :
- Adolescent (MeSH), Child (MeSH), Child, Preschool (MeSH), Disease Outbreaks (MeSH), Female (MeSH), Germany (epidemiology), Humans (MeSH), Infant (MeSH), Influenza B virus (isolation & purification), Influenza, Human (complications), Influenza, Human (epidemiology), Male (MeSH), Myositis (epidemiology), Myositis (pathology), Myositis (virology), Prospective Studies (MeSH), Retrospective Studies (MeSH), Surveys and Questionnaires (MeSH).
- MESH :
- geographic , epidemiology : Germany.
- complications : Influenza, Human.
- epidemiology : Influenza, Human, Myositis.
- isolation & purification : Influenza B virus.
- pathology : Myositis.
- virology : Myositis.
- Adolescent, Child, Child, Preschool, Disease Outbreaks, Female, Humans, Infant, Male, Prospective Studies, Retrospective Studies, Surveys and Questionnaires.
Abstract
BACKGROUND
Benign acute childhood myositis (BACM) is a rare syndrome associated with various viral infections. Bilateral calve pain may lead to inability to walk. During winter 2007/2008, we investigated a nationwide outbreak of influenza-associated BACM (IA-BACM) to identify etiologic (sub)type, describe the course of disease, and explore how well the syndrome is known among physicians.
METHODS
We performed retrospective and prospective case finding in all German federal states. Physicians returned patient-based questionnaires containing information about sex, age, disease progression, patient-management, and number of BACM cases treated previously. We compared IA-BACM cases with influenza cases from the German virologic sentinel surveillance system for influenza.
RESULTS
We investigated 219 children with IA-BACM. They coincided with the curve of influenza B of the German virologic sentinel surveillance system for influenza. Median age was 7 years, 74% (160/216) of cases were male, median time between the onset of fever and onset of BACM-symptoms was 3 days lasting for a median of 4 days. Almost half of the affected children had presented at hospitals. One case with beginning renal impairment occurred, but the patient recovered completely. Most reporting physicians had not seen BACM-patients previously. Multivariable analysis showed IA-BACM's strong association with influenza B, male sex, and age between 6 and 9 years.
CONCLUSIONS
Influenza B caused a large BACM outbreak in Germany. Onset of BACM symptoms followed shortly after the onset of influenza symptoms. The course of this disease was almost exclusively mild and self-limiting. Diagnosis of this rare but distinct clinical entity by the alert physician can spare the patient potentially unneeded invasive testing and hospital admission.
DOI: 10.1097/INF.0b013e318217e356
PubMed: 21753259
Affiliations:
Links toward previous steps (curation, corpus...)
Le document en format XML
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last="Tibussek">Daniel Tibussek</name></author><author><name sortKey="Jurke, Annette" sort="Jurke, Annette" uniqKey="Jurke A" first="Annette" last="Jurke">Annette Jurke</name></author><author><name sortKey="An Der Heiden, Matthias" sort="An Der Heiden, Matthias" uniqKey="An Der Heiden M" first="Matthias" last="An Der Heiden">Matthias An Der Heiden</name></author><author><name sortKey="Diedrich, Sabine" sort="Diedrich, Sabine" uniqKey="Diedrich S" first="Sabine" last="Diedrich">Sabine Diedrich</name></author><author><name sortKey="Schweiger, Brunhilde" sort="Schweiger, Brunhilde" uniqKey="Schweiger B" first="Brunhilde" last="Schweiger">Brunhilde Schweiger</name></author><author><name sortKey="Alpers, Katharina" sort="Alpers, Katharina" uniqKey="Alpers K" first="Katharina" last="Alpers">Katharina Alpers</name></author></titleStmt><publicationStmt><idno type="wicri:source">PubMed</idno><date when="2011">2011</date><idno type="RBID">pubmed:21753259</idno><idno 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Health, Muenster</wicri:regionArea><wicri:noRegion>Muenster</wicri:noRegion><wicri:noRegion>Muenster</wicri:noRegion><wicri:noRegion>Muenster</wicri:noRegion></affiliation></author><author><name sortKey="Buchholz, Udo" sort="Buchholz, Udo" uniqKey="Buchholz U" first="Udo" last="Buchholz">Udo Buchholz</name></author><author><name sortKey="Tibussek, Daniel" sort="Tibussek, Daniel" uniqKey="Tibussek D" first="Daniel" last="Tibussek">Daniel Tibussek</name></author><author><name sortKey="Jurke, Annette" sort="Jurke, Annette" uniqKey="Jurke A" first="Annette" last="Jurke">Annette Jurke</name></author><author><name sortKey="An Der Heiden, Matthias" sort="An Der Heiden, Matthias" uniqKey="An Der Heiden M" first="Matthias" last="An Der Heiden">Matthias An Der Heiden</name></author><author><name sortKey="Diedrich, Sabine" sort="Diedrich, Sabine" uniqKey="Diedrich S" first="Sabine" last="Diedrich">Sabine Diedrich</name></author><author><name sortKey="Schweiger, Brunhilde" sort="Schweiger, Brunhilde" uniqKey="Schweiger B" first="Brunhilde" last="Schweiger">Brunhilde Schweiger</name></author><author><name sortKey="Alpers, Katharina" sort="Alpers, Katharina" uniqKey="Alpers K" first="Katharina" last="Alpers">Katharina Alpers</name></author></analytic><series><title level="j">The Pediatric infectious disease journal</title><idno type="eISSN">1532-0987</idno><imprint><date when="2011" type="published">2011</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Adolescent (MeSH)</term><term>Child (MeSH)</term><term>Child, Preschool (MeSH)</term><term>Disease Outbreaks (MeSH)</term><term>Female (MeSH)</term><term>Germany (epidemiology)</term><term>Humans (MeSH)</term><term>Infant (MeSH)</term><term>Influenza B virus (isolation & purification)</term><term>Influenza, Human (complications)</term><term>Influenza, Human (epidemiology)</term><term>Male (MeSH)</term><term>Myositis (epidemiology)</term><term>Myositis (pathology)</term><term>Myositis (virology)</term><term>Prospective Studies (MeSH)</term><term>Retrospective Studies (MeSH)</term><term>Surveys and Questionnaires (MeSH)</term></keywords><keywords scheme="KwdFr" xml:lang="fr"><term>Adolescent (MeSH)</term><term>Allemagne (épidémiologie)</term><term>Enfant (MeSH)</term><term>Enfant d'âge préscolaire (MeSH)</term><term>Enquêtes et questionnaires (MeSH)</term><term>Femelle (MeSH)</term><term>Grippe humaine (complications)</term><term>Grippe humaine (épidémiologie)</term><term>Humains (MeSH)</term><term>Myosite (anatomopathologie)</term><term>Myosite (virologie)</term><term>Myosite (épidémiologie)</term><term>Mâle (MeSH)</term><term>Nourrisson (MeSH)</term><term>Virus influenza B (isolement et purification)</term><term>Épidémies de maladies (MeSH)</term><term>Études prospectives (MeSH)</term><term>Études rétrospectives (MeSH)</term></keywords><keywords scheme="MESH" type="geographic" qualifier="epidemiology" xml:lang="en"><term>Germany</term></keywords><keywords scheme="MESH" qualifier="anatomopathologie" xml:lang="fr"><term>Myosite</term></keywords><keywords scheme="MESH" qualifier="complications" xml:lang="en"><term>Influenza, Human</term></keywords><keywords scheme="MESH" qualifier="epidemiology" xml:lang="en"><term>Influenza, Human</term><term>Myositis</term></keywords><keywords scheme="MESH" qualifier="isolation & purification" xml:lang="en"><term>Influenza B virus</term></keywords><keywords scheme="MESH" qualifier="isolement et purification" xml:lang="fr"><term>Virus influenza B</term></keywords><keywords scheme="MESH" qualifier="pathology" xml:lang="en"><term>Myositis</term></keywords><keywords scheme="MESH" qualifier="virologie" xml:lang="fr"><term>Myosite</term></keywords><keywords scheme="MESH" qualifier="virology" xml:lang="en"><term>Myositis</term></keywords><keywords scheme="MESH" qualifier="épidémiologie" xml:lang="fr"><term>Allemagne</term><term>Grippe humaine</term><term>Myosite</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Adolescent</term><term>Child</term><term>Child, Preschool</term><term>Disease Outbreaks</term><term>Female</term><term>Humans</term><term>Infant</term><term>Male</term><term>Prospective Studies</term><term>Retrospective Studies</term><term>Surveys and Questionnaires</term></keywords><keywords scheme="MESH" xml:lang="fr"><term>Adolescent</term><term>Enfant</term><term>Enfant d'âge préscolaire</term><term>Enquêtes et questionnaires</term><term>Femelle</term><term>Humains</term><term>Mâle</term><term>Nourrisson</term><term>Épidémies de maladies</term><term>Études prospectives</term><term>Études rétrospectives</term></keywords><keywords scheme="Wicri" type="geographic" xml:lang="fr"><term>Allemagne</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><p><b>BACKGROUND</b></p><p>Benign acute childhood myositis (BACM) is a rare syndrome associated with various viral infections. Bilateral calve pain may lead to inability to walk. During winter 2007/2008, we investigated a nationwide outbreak of influenza-associated BACM (IA-BACM) to identify etiologic (sub)type, describe the course of disease, and explore how well the syndrome is known among physicians.</p></div><div type="abstract" xml:lang="en"><p><b>METHODS</b></p><p>We performed retrospective and prospective case finding in all German federal states. Physicians returned patient-based questionnaires containing information about sex, age, disease progression, patient-management, and number of BACM cases treated previously. We compared IA-BACM cases with influenza cases from the German virologic sentinel surveillance system for influenza.</p></div><div type="abstract" xml:lang="en"><p><b>RESULTS</b></p><p>We investigated 219 children with IA-BACM. They coincided with the curve of influenza B of the German virologic sentinel surveillance system for influenza. Median age was 7 years, 74% (160/216) of cases were male, median time between the onset of fever and onset of BACM-symptoms was 3 days lasting for a median of 4 days. Almost half of the affected children had presented at hospitals. One case with beginning renal impairment occurred, but the patient recovered completely. Most reporting physicians had not seen BACM-patients previously. Multivariable analysis showed IA-BACM's strong association with influenza B, male sex, and age between 6 and 9 years.</p></div><div type="abstract" xml:lang="en"><p><b>CONCLUSIONS</b></p><p>Influenza B caused a large BACM outbreak in Germany. Onset of BACM symptoms followed shortly after the onset of influenza symptoms. The course of this disease was almost exclusively mild and self-limiting. Diagnosis of this rare but distinct clinical entity by the alert physician can spare the patient potentially unneeded invasive testing and hospital admission.</p></div></front></TEI><pubmed><MedlineCitation Status="MEDLINE" Owner="NLM"><PMID Version="1">21753259</PMID><DateCompleted><Year>2011</Year><Month>10</Month><Day>31</Day></DateCompleted><DateRevised><Year>2015</Year><Month>11</Month><Day>19</Day></DateRevised><Article PubModel="Print"><Journal><ISSN IssnType="Electronic">1532-0987</ISSN><JournalIssue CitedMedium="Internet"><Volume>30</Volume><Issue>8</Issue><PubDate><Year>2011</Year><Month>Aug</Month></PubDate></JournalIssue><Title>The Pediatric infectious disease journal</Title><ISOAbbreviation>Pediatr. Infect. Dis. J.</ISOAbbreviation></Journal><ArticleTitle>A large outbreak of influenza B-associated benign acute childhood myositis in Germany, 2007/2008.</ArticleTitle><Pagination><MedlinePgn>e142-6</MedlinePgn></Pagination><ELocationID EIdType="doi" ValidYN="Y">10.1097/INF.0b013e318217e356</ELocationID><Abstract><AbstractText Label="BACKGROUND" NlmCategory="BACKGROUND">Benign acute childhood myositis (BACM) is a rare syndrome associated with various viral infections. Bilateral calve pain may lead to inability to walk. During winter 2007/2008, we investigated a nationwide outbreak of influenza-associated BACM (IA-BACM) to identify etiologic (sub)type, describe the course of disease, and explore how well the syndrome is known among physicians.</AbstractText><AbstractText Label="METHODS" NlmCategory="METHODS">We performed retrospective and prospective case finding in all German federal states. Physicians returned patient-based questionnaires containing information about sex, age, disease progression, patient-management, and number of BACM cases treated previously. We compared IA-BACM cases with influenza cases from the German virologic sentinel surveillance system for influenza.</AbstractText><AbstractText Label="RESULTS" NlmCategory="RESULTS">We investigated 219 children with IA-BACM. They coincided with the curve of influenza B of the German virologic sentinel surveillance system for influenza. Median age was 7 years, 74% (160/216) of cases were male, median time between the onset of fever and onset of BACM-symptoms was 3 days lasting for a median of 4 days. Almost half of the affected children had presented at hospitals. One case with beginning renal impairment occurred, but the patient recovered completely. Most reporting physicians had not seen BACM-patients previously. Multivariable analysis showed IA-BACM's strong association with influenza B, male sex, and age between 6 and 9 years.</AbstractText><AbstractText Label="CONCLUSIONS" NlmCategory="CONCLUSIONS">Influenza B caused a large BACM outbreak in Germany. Onset of BACM symptoms followed shortly after the onset of influenza symptoms. The course of this disease was almost exclusively mild and self-limiting. Diagnosis of this rare but distinct clinical entity by the alert physician can spare the patient potentially unneeded invasive testing and hospital admission.</AbstractText></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Mall</LastName><ForeName>Sabine</ForeName><Initials>S</Initials><AffiliationInfo><Affiliation>NRW Institute of Health and Work, Centre for Public Health, Muenster, Germany. sabine.mall@icrhk.org</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Buchholz</LastName><ForeName>Udo</ForeName><Initials>U</Initials></Author><Author ValidYN="Y"><LastName>Tibussek</LastName><ForeName>Daniel</ForeName><Initials>D</Initials></Author><Author ValidYN="Y"><LastName>Jurke</LastName><ForeName>Annette</ForeName><Initials>A</Initials></Author><Author ValidYN="Y"><LastName>An der Heiden</LastName><ForeName>Matthias</ForeName><Initials>M</Initials></Author><Author ValidYN="Y"><LastName>Diedrich</LastName><ForeName>Sabine</ForeName><Initials>S</Initials></Author><Author ValidYN="Y"><LastName>Schweiger</LastName><ForeName>Brunhilde</ForeName><Initials>B</Initials></Author><Author ValidYN="Y"><LastName>Alpers</LastName><ForeName>Katharina</ForeName><Initials>K</Initials></Author></AuthorList><Language>eng</Language><PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType></PublicationTypeList></Article><MedlineJournalInfo><Country>United States</Country><MedlineTA>Pediatr Infect Dis J</MedlineTA><NlmUniqueID>8701858</NlmUniqueID><ISSNLinking>0891-3668</ISSNLinking></MedlineJournalInfo><CitationSubset>IM</CitationSubset><MeshHeadingList><MeshHeading><DescriptorName UI="D000293" MajorTopicYN="N">Adolescent</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D002648" MajorTopicYN="N">Child</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D002675" MajorTopicYN="N">Child, Preschool</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D004196" MajorTopicYN="Y">Disease Outbreaks</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D005260" MajorTopicYN="N">Female</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D005858" MajorTopicYN="N" Type="Geographic">Germany</DescriptorName><QualifierName UI="Q000453" MajorTopicYN="N">epidemiology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D006801" MajorTopicYN="N">Humans</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D007223" MajorTopicYN="N">Infant</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D009981" MajorTopicYN="N">Influenza B virus</DescriptorName><QualifierName UI="Q000302" MajorTopicYN="Y">isolation & purification</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D007251" MajorTopicYN="N">Influenza, Human</DescriptorName><QualifierName UI="Q000150" MajorTopicYN="Y">complications</QualifierName><QualifierName UI="Q000453" MajorTopicYN="Y">epidemiology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D008297" MajorTopicYN="N">Male</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D009220" MajorTopicYN="N">Myositis</DescriptorName><QualifierName UI="Q000453" MajorTopicYN="Y">epidemiology</QualifierName><QualifierName UI="Q000473" MajorTopicYN="N">pathology</QualifierName><QualifierName UI="Q000821" MajorTopicYN="Y">virology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D011446" MajorTopicYN="N">Prospective Studies</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D012189" MajorTopicYN="N">Retrospective Studies</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D011795" MajorTopicYN="N">Surveys and Questionnaires</DescriptorName></MeshHeading></MeshHeadingList></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="entrez"><Year>2011</Year><Month>7</Month><Day>15</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="pubmed"><Year>2011</Year><Month>7</Month><Day>15</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="medline"><Year>2011</Year><Month>11</Month><Day>1</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate></History><PublicationStatus>ppublish</PublicationStatus><ArticleIdList><ArticleId IdType="pubmed">21753259</ArticleId><ArticleId IdType="doi">10.1097/INF.0b013e318217e356</ArticleId><ArticleId IdType="pii">00006454-201108000-00034</ArticleId></ArticleIdList></PubmedData></pubmed><affiliations><list><country><li>Allemagne</li></country></list><tree><noCountry><name sortKey="Alpers, Katharina" sort="Alpers, Katharina" uniqKey="Alpers K" first="Katharina" last="Alpers">Katharina Alpers</name><name sortKey="An Der Heiden, Matthias" sort="An Der Heiden, Matthias" uniqKey="An Der Heiden M" first="Matthias" last="An Der Heiden">Matthias An Der Heiden</name><name sortKey="Buchholz, Udo" sort="Buchholz, Udo" uniqKey="Buchholz U" first="Udo" last="Buchholz">Udo Buchholz</name><name sortKey="Diedrich, Sabine" sort="Diedrich, Sabine" uniqKey="Diedrich S" first="Sabine" last="Diedrich">Sabine Diedrich</name><name sortKey="Jurke, Annette" sort="Jurke, Annette" uniqKey="Jurke A" first="Annette" last="Jurke">Annette Jurke</name><name sortKey="Schweiger, Brunhilde" sort="Schweiger, Brunhilde" uniqKey="Schweiger B" first="Brunhilde" last="Schweiger">Brunhilde Schweiger</name><name sortKey="Tibussek, Daniel" sort="Tibussek, Daniel" uniqKey="Tibussek D" first="Daniel" last="Tibussek">Daniel Tibussek</name></noCountry><country name="Allemagne"><noRegion><name sortKey="Mall, Sabine" sort="Mall, Sabine" uniqKey="Mall S" first="Sabine" last="Mall">Sabine Mall</name></noRegion></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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