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不完全川崎病:卡介苗再激活作为一种诊断工具的效用。

Incomplete Kawasaki disease: The usefulness of BCG reactivation as a diagnostic tool.

作者信息

Suliman Omer S M, Abdelnasser Mohamed

机构信息

Department of Paediatrics , AlRass General Hospital , Saudi Arabia.

出版信息

Sudan J Paediatr. 2012;12(1):84-8.

Abstract

Kawasaki disease (KD) is an extremely rare condition in infants younger than 3 months old. Cardiovascular complications are unfortunately most common in young infants and it is in this age group, incomplete Kawasaki disease (IKD) is more frequently reported. Because IKD is a diagnostic dilemma, any sign that could help early diagnosis, such as BCG reactivation is useful. Here we report on an infant less than 3 months old with IKD wherein, BCG reactivation helped us in making the diagnosis. In this article, we highlight the usefulness of this sign for early diagnosis of IKD, especially in countries where BCG vaccination is still part of the immunization schedule.

摘要

川崎病(KD)在3个月以下婴儿中极为罕见。不幸的是,心血管并发症在小婴儿中最为常见,正是在这个年龄组中,不完全川崎病(IKD)的报告更为频繁。由于IKD是一个诊断难题,任何有助于早期诊断的迹象,如卡介苗再激活都是有用的。在此,我们报告一例3个月以下患有IKD的婴儿,其中卡介苗再激活帮助我们做出了诊断。在本文中,我们强调了这一迹象对IKD早期诊断的有用性,特别是在卡介苗接种仍是免疫计划一部分的国家。

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