Attia Tarek Hamed, Morsy Saed M, Hassan Bashier A, Ali Al Shymaa A
Pediatrics Department, Faculty of Medicine, Zagazig University, Zagazig, Egypt.
Glob Cardiol Sci Pract. 2017 Oct 31;2017(3):e201725. doi: 10.21542/gcsp.2017.25.
Kawasaki disease is an acute vasculitis of early childhood. Its incidence varies among different ethnic groups with higher rates among Asians. In this case series, we presented four cases of Kawasaki disease with incomplete or atypical presentations in Egyptian children. Two cases presented with meningitis, which is not a criteria for the diagnosis of Kawasaki disease. The other two cases presented with pharyngitis and fever, which did not respond to antibiotics. The clinical criteria for diagnosis of Kawasaki disease were either incomplete or appeared sequentially. Coronary artery aneurysms were detected in one case, while the others had normal coronary by echocardiography. All cases were followed in our clinic, according to international guidelines. Early diagnosis and management of Kawasaki disease are important to ensure a good outcome and a high index of suspicion in febrile children is required irrespective of the clinical presentation.
川崎病是一种儿童期的急性血管炎。其发病率在不同种族群体中有所差异，亚洲人的发病率较高。在本病例系列中，我们呈现了4例埃及儿童川崎病不完全或非典型表现的病例。2例表现为脑膜炎，这并非川崎病诊断标准中的一项。另外2例表现为咽炎和发热，对抗生素治疗无效。川崎病的临床诊断标准要么不完全，要么是相继出现。1例检测到冠状动脉瘤，而其他病例经超声心动图检查冠状动脉正常。所有病例均按照国际指南在我们诊所进行随访。川崎病的早期诊断和管理对于确保良好预后很重要，对于发热儿童，无论临床表现如何，都需要保持高度怀疑。
