Sinhabahu Vindika Prasad, Suntharesan Janani, Wijesekara Dimuthu Saraji
Professorial Paediatric Unit, Colombo South Teaching Hospital, Kalubowila, Sri Lanka.
Professorial Paediatric Unit, Lady Ridgeway Hospital for Children, Colombo, Sri Lanka.
Case Rep Infect Dis. 2016;2016:4949036. doi: 10.1155/2016/4949036. Epub 2016 Dec 22.
Kawasaki disease is diagnosed when fever lasts for more than 5 days with the presence of four out of five of the following clinical features: bilateral conjunctival congestion, changes in the lips and oral cavity, polymorphous exanthem, changes in peripheral extremities, and acute nonpurulent cervical lymphadenopathy (Nakamura et al., 2012). The average age of onset is 2 years and 90% of patients are below 5 years of age. Boys are more affected than girls (Cox and Sallis, 2009). This case report describes an adolescent female who was initially managed as having septic shock and subsequently found to have Kawasaki shock syndrome.
当发热持续超过5天，并伴有以下五种临床特征中的四种时，可诊断为川崎病：双侧结膜充血、嘴唇和口腔变化、多形性皮疹、四肢末端变化以及急性非化脓性颈部淋巴结病（中村等人，2012年）。发病的平均年龄为2岁，90%的患者年龄在5岁以下。男孩比女孩更容易患病（考克斯和萨利斯，2009年）。本病例报告描述了一名青少年女性，最初被诊断为感染性休克，随后发现患有川崎休克综合征。
