热带感染相关性川崎病患儿特征。
Profile of Children with Kawasaki Disease Associated with Tropical Infections.
机构信息
Department of Pediatrics, Lady Hardinge Medical College and associated Kalawati Saran Children Hospital, New Delhi, 110001, India.
出版信息
Indian J Pediatr. 2022 Aug;89(8):759-764. doi: 10.1007/s12098-021-03953-9. Epub 2021 Dec 22.
OBJECTIVE
To describe various infectious triggers for Kawasaki disease (KD) in India.
METHODS
A series of 10 children with diagnosed infections who developed KD during their course of illness has been presented. They were diagnosed by the American Heart Association (AHA) 2017 guidelines. Echocardiography was done to check for coronary artery dilation. Treatment was instituted as per standard protocol.
RESULTS
Kawasaki disease was diagnosed in 8 boys and 2 girls, aged 1 mo to 11 y. These children were being treated for dengue, chikungunya, SARS-CoV-2, hepatitis A, tuberculosis, brucellosis, disseminated staphylococcal sepsis, scrub typhus, and enteric fever.
CONCLUSIONS
Kawasaki disease has been associated with infectious triggers. It should be considered in febrile patients with mucocutaneous involvement or in nonresponsive sepsis, despite adequate therapy.
目的
描述印度川崎病（KD）的各种感染诱因。
方法
本文介绍了一系列在病程中发生 KD 的 10 名确诊感染儿童。他们的诊断符合美国心脏协会（AHA）2017 年的指南。进行了超声心动图检查以检查冠状动脉扩张。根据标准方案进行了治疗。
结果
8 名男孩和 2 名女孩被诊断为 KD，年龄 1 个月至 11 岁。这些儿童正在接受登革热、基孔肯雅热、SARS-CoV-2、甲型肝炎、肺结核、布鲁氏菌病、播散性葡萄球菌败血症、丛林斑疹伤寒和肠热病的治疗。
结论
KD 与感染诱因有关。即使在适当治疗后，仍应考虑发热伴黏膜皮肤受累或对败血症无反应的患者是否存在 KD。
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