Thabet F, Bellara I, Tabarki B, Kchaou H, Selmi H, Yacoub M, Essoussi A S
Service de pédiatrie, hôpital Farhat-Hached, avenue Ibn-El-Jazzar, 4000 Sousse, Tunisie.
Arch Pediatr. 2004 Mar;11(3):226-8. doi: 10.1016/j.arcped.2003.12.017.
Gastrointestinal manifestations of Kawasaki disease are usually limited to stomatitis, paralytic ileus, and hydrops of the gallbladder. We report a case of Kawasaki disease complicated with hemophagocytosis and ischemic colitis.
A 5-year-old girl with Kawasaki disease presented with hemophagocytosis that responded to gamma-globulin therapy. On day 4 she had abdominal pain and diarrhea. CT scan showed features suggesting ischemic colitis. Symptoms resolved on total parenteral nutrition.
Ischemic colitis and hemophagocytosis are potential severe complications of Kawasaki disease.
川崎病的胃肠道表现通常局限于口腔炎、麻痹性肠梗阻和胆囊积液。我们报告一例川崎病并发噬血细胞综合征和缺血性结肠炎的病例。
一名患有川崎病的5岁女孩出现噬血细胞综合征，对丙种球蛋白治疗有反应。在第4天，她出现腹痛和腹泻。CT扫描显示有提示缺血性结肠炎的特征。症状在全胃肠外营养支持下缓解。
缺血性结肠炎和噬血细胞综合征是川崎病潜在的严重并发症。
Zotero 插件