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川崎病综合征在一名阿拉伯女性中出现:罕见表现病例报告并文献复习。

Kawasaki shock syndrome in an Arab female: case report of a rare manifestation and review of literature.

机构信息

Aljalila Children's specialty hospital, Dubai Health Care City, Dubai, UAE.

Sharjah institute for Medical Research, Sharjah, UAE. PoBox, 7226, Dubai, UAE.

出版信息

BMC Pediatr. 2019 Aug 23;19(1):295. doi: 10.1186/s12887-019-1662-9.

DOI:10.1186/s12887-019-1662-9
PMID:31443702
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6706932/
Abstract

BACKGROUND

Kawasaki disease shock syndrome is a relatively new and rare complication of Kawasaki disease first described in 2009.

CASE PRESENTATION

This report describes a two-year-old Arab descent female presenting with a history of high-grade fever of 2 days duration with non-specific signs of viral illness and erythematous rash. The patients' condition deteriorated rapidly requiring admission to intensive care unit. In the intensive care unit, she developed a right upper quadrant mass that was diagnosed as hydrops of the gallbladder by ultrasonography. After one dose of intravenous immunoglobulin, the patient started to recover and was transferred out of intensive care after 2 days.

CONCLUSION

Among the complications of Kawasaki disease, shock syndrome is rare and usually will have deleterious results if not diagnosed and managed promptly.

摘要

背景

川崎病休克综合征是川崎病的一种相对较新且罕见的并发症,于 2009 年首次描述。

病例介绍

本报告描述了一名两岁的阿拉伯裔女性,有两天高热病史,伴有非特异性病毒感染和红斑皮疹。患者病情迅速恶化,需要入住重症监护病房。在重症监护病房,她出现右上象限肿块,超声诊断为胆囊积水。静脉注射免疫球蛋白一剂后,患者开始恢复,两天后转入重症监护病房外。

结论

川崎病的并发症中,休克综合征较为罕见,如果不能及时诊断和治疗,通常会产生不良后果。

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本文引用的文献

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Kawasaki disease shock syndrome: Unique and severe subtype of Kawasaki disease.川崎病休克综合征:川崎病的独特且严重的亚型。
Pediatr Int. 2018 Sep;60(9):781-790. doi: 10.1111/ped.13614.
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The global epidemiology of Kawasaki disease: Review and future perspectives.川崎病的全球流行病学:综述与未来展望
Glob Cardiol Sci Pract. 2017 Oct 31;2017(3):e201720. doi: 10.21542/gcsp.2017.20.
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Clinical Manifestations of Kawasaki Disease Shock Syndrome.川崎病休克综合征的临床表现。
Clin Pediatr (Phila). 2018 Apr;57(4):428-435. doi: 10.1177/0009922817729483. Epub 2017 Sep 14.
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Kawasaki Disease Presenting with Bloody Diarrhea and Acute Renal Failure: First Case.以血性腹泻和急性肾衰竭为表现的川崎病:首例病例
Pediatr Rep. 2017 Jun 26;9(2):7163. doi: 10.4081/pr.2017.7163.
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A Patient with Kawasaki Disease Following Influenza Vaccinations.一名接种流感疫苗后患上川崎病的患者。
Pediatr Infect Dis J. 2015 Aug;34(8):913. doi: 10.1097/INF.0000000000000713.
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Clinical manifestations of Kawasaki disease shock syndrome: a case-control study.川崎病休克综合征的临床表现:一项病例对照研究。
J Microbiol Immunol Infect. 2015 Feb;48(1):43-50. doi: 10.1016/j.jmii.2013.06.005. Epub 2013 Aug 6.
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Clinical manifestations associated with Kawasaki disease shock syndrome in Mexican children.与墨西哥儿童川崎病休克综合征相关的临床表现。
Eur J Pediatr. 2013 Mar;172(3):337-42. doi: 10.1007/s00431-012-1879-1. Epub 2012 Nov 15.
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Various coronary artery complications of Kawasaki disease: Series of 5 cases and review of literature.川崎病的各种冠状动脉并发症:5例病例系列及文献综述
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Kawasaki disease: an unexpected etiology of shock and multiple organ dysfunction syndrome.川崎病:休克和多器官功能障碍综合征的意外病因。
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What dose of intravenous immunoglobulin should be administered in Kawasaki disease with suspected systemic capillary leak syndrome? Comment on: shock: an unusual presentation of Kawasaki disease (Eur J Pediatr. 2011 Jul; 170(7):941-3).对于疑似全身性毛细血管渗漏综合征的川崎病患者,应给予何种剂量的静脉注射免疫球蛋白?评论:休克:川崎病的一种不寻常表现(《欧洲儿科学杂志》。2011年7月;170(7):941 - 3)
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