Hyams Catherine, Day Thomas G, Ramroop Shiva, Paget Stephanie, Howard Sasha, McMillan Merlin, Vora Surabhi, de Keyser Paul
Department of Paediatrics, Chase Farm Hospital, Barnet and Chase Farm Hospitals NHS Trust, London, England.
Pediatr Cardiol. 2012 Oct;33(7):1196-9. doi: 10.1007/s00246-012-0246-3. Epub 2012 Mar 8.
Here we present an unusual case of incomplete Kawasaki disease in a 15-year-old boy returning from a holiday with his family in Montana. His symptoms were initial diarrhoea and lethargy, with fever, rash, conjunctivitis, and arthralgia developing during the course of his illness. His condition worsened while he was at his local hospital, and he was transferred to the regional tertiary paediatric hospital. An initial echocardiogram was normal; however, repeat echocardiogram showed dilated coronary arteries with subsequent development of peeling of the skin on the hands and feet. The patient was started on intravenous immunoglobulin and high-dose aspirin and improved clinically. He was discharged home and remains under follow-up by the infectious diseases and cardiology teams.
在此，我们呈现一例不同寻常的不完全川崎病病例，患者为一名15岁男孩，他与家人在蒙大拿州度假归来。他最初的症状是腹泻和嗜睡，在病程中出现了发热、皮疹、结膜炎和关节痛。他在当地医院时病情恶化，随后被转至地区三级儿科医院。最初的超声心动图检查结果正常；然而，复查超声心动图显示冠状动脉扩张，随后出现了手脚皮肤脱皮。该患者开始接受静脉注射免疫球蛋白和大剂量阿司匹林治疗，临床症状有所改善。他已出院回家，目前仍在接受传染病科和心脏病科团队的随访。
