Benign acute myositis (Paediatrics)

Very low urgency
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It is an acute viral process in children characterised by pain and muscle weakness in the lower limbs. It impairs the mobility of the legs causing a tip-toed gait, the knees bent, even it completely prevents them from walking.

The cause is a previous respiratory infection by influenza A and B virus, parainfluenza, cytomegalovirus, rubella virus or retrovirus. It is believed to be the cause when a child has difficulty walking without having received a blow or exercised intensely.

The primary symptoms are respiratory ones (mucosity, a stuffy nose, fever, cough, etc.) and after 3-5 days, the rest of the symptoms appear: weakness and functional impotence of the legs and severe pain in the calves.

Diagnosis is made based on physical examination and blood tests.

The treatment is symptomatic, based on regular hydration, rest, analgesics and anti-inflammatories. Symptoms subside after 24-48h.

If you suspect the child to have acute myositis and have any of the above symptoms, see a paediatrician to treat the symptoms.

Bibliographic references
  1. S. Arias, I. López, A. B. Pozuelo, I. Adrados. Miositis viral aguda. Mediam 2002; 12(7):71-72.
  2. F. Cavagnaro, I. Harwardt, A. Aird, C. Gloria. Miositis aguda benigna de la infancia. Serie clínica y revisión de la literatura. Rev Chil Pediatr 2016; 197(1):1-6.
  3. E. Rodríguez , L. Sabaj, L. Schargrodsky. Miositis benigna aguda: una inusual causa de impotencia funcional en pediatría. Rev Hosp Ninos 2011; 53:162-6.
  4. M. M. Álvarez, M. J. Moreno, J. Álvarez, I. Obando. Miositis aguda postinflueza en niños. Aten Primaria 1997; 20(4): 210-1.
  5. UpToDate [Internet]. Waltham. 2017. Viral myositis; [citado el 12 de julio de 2017]. Disponible en: http://www.uptodate.com/contents/viral-myositis?source=search_result&search=miositis+aguda+benigna&selectedTitle=2~15.
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Symptoms

    Pain in the calf


    Difficulty walking


    Loss of strength in legs


    Loss of strength increase when the same exercise is repeated


    Tired legs

Symptoms to watch out for

Numbness or tingling of the lower limbs from the feet up.
Pain or sensitivity similar to a cramp
Difficulty walking unaided

Self-care

Relative rest, rest until symptoms subside.
Maintain hydration of 2 litres per day.
Consume over-the-counter analgesics and antipyretics in case of muscle pain or fever (Tº > 38ºC).
Maintain a balanced diet: increase fruit, vegetable, and white meat consumption and reduce the intake of fatty meals and fritters.
If nasal congestion and a runny nose is present, use nasal inhalers containing antihistamines and/or decongestants.
Do not take antibiotics without medical advice.