Division of Pediatric Infectious Diseases, University of Texas Southwestern Medical Center, Dallas, TX, USA.
Pediatr Infect Dis J. 2010 Aug;29(8):770-2. doi: 10.1097/INF.0b013e3181dba70b.
The role of respiratory viruses in the pathogenesis of Kawasaki disease (KD) remains controversial. In this study, we showed that 8.8% of patients with KD had documented respiratory viral infections. Patients with concomitant viral infections had a higher frequency of coronary artery dilatations and were significantly more often diagnosed with incomplete KD. The presence of a concomitant viral infection should not exclude the diagnosis of KD.
呼吸道病毒在川崎病(KD)发病机制中的作用仍存在争议。本研究表明,8.8%的 KD 患者存在已确诊的呼吸道病毒感染。合并病毒感染的患者冠状动脉扩张的发生率更高,且更常被诊断为不完全性 KD。合并病毒感染不应排除 KD 的诊断。