Lin Ming-Chih, Hsu Chun-Ming, Fu Yun-Ching
Department of Pediatrics, Institute of Clinical Medicine, National Yang-Ming University, Taipei, Taiwan.
Cardiol Young. 2010 Jun;20(3):339-41. doi: 10.1017/S104795111000017X. Epub 2010 Mar 22.
Prolonged fever, 5 days or more, is the cardinal feature of Kawasaki disease. We described a 5-year-old boy with initial presentations of fever, conjunctivitis, and strawberry tongue. The fever only lasted for 3 days. However, giant coronary aneurysms developed later. This patient reminds us that coronary complications could happen even the fever is less than 5 days. Criteria of fever duration might need reconsideration.
长期发热(5天或更长时间)是川崎病的主要特征。我们描述了一名5岁男孩,最初表现为发热、结膜炎和草莓舌。发热仅持续了3天。然而,后来出现了巨大冠状动脉瘤。这名患者提醒我们,即使发热时间少于5天,也可能发生冠状动脉并发症。发热持续时间的标准可能需要重新考虑。