Northampton General Hospital, Northampton, UK.
Ital J Pediatr. 2010 Jan 19;36:7. doi: 10.1186/1824-7288-36-7.
A 3 yr old boy presented with abdominal pain, fever and red jelly stools. Intussusception was diagnosed and effectively reduced with air insufflation. However, despite an improvement in his clinical condition, the child remained febrile and miserable; 5 days later he developed characteristic signs of Kawasaki disease and was treated with intravenous immunoglobulin and high dose aspirin with good results. Intussusception prior to the typical features of Kawasaki disease has not been described previously in the English literature. This case illustrates a novel presentation of Kawasaki disease.
一个 3 岁男孩因腹痛、发热和红色果酱样便就诊。诊断为肠套叠，并通过空气灌肠成功复位。然而，尽管临床状况有所改善，患儿仍持续发热且不适；5 天后出现川崎病的典型表现，并接受了静脉注射免疫球蛋白和大剂量阿司匹林治疗，效果良好。在川崎病典型表现之前出现肠套叠在英文文献中尚未有报道。本例提示川崎病的一种新的表现形式。
