Karki Anisha, Jha Abhishek, Sapkota Shova, Kashyap Nikita, Manandhar Sunil Raja
Kathmandu Medical College And Teaching Hospital, Sinamangal, Kathmandu, Nepal.
JNMA J Nepal Med Assoc. 2024 Mar 31;62(272):269-271. doi: 10.31729/jnma.8538.
Kawasaki Disease is multisystem vasculitis affecting young children and infants. While the diagnosis of a typical form of Kawasaki Disease is obvious, there are some patients who do not fulfill the classic diagnostic criteria for the disease which is termed as 'incomplete Kawasaki Disease' or 'Atypical Kawasaki Disease'. We present a case of a 6 months old child with fever who after failing to respond to IV antibiotics showed considerable improvement after administering aspirin and Intravenous Immunoglobulin thus diagnosed as Atypical Kawasaki Disease. Moreover, due to sharing of similar features by both Kawasaki Disease and Multiple Inflammatory Syndrome in Children, the case posed a diagnostic dilemma.
川崎病是一种影响幼儿和婴儿的多系统血管炎。虽然典型川崎病的诊断很明显,但有些患者不符合该疾病的经典诊断标准,被称为“不完全川崎病”或“非典型川崎病”。我们报告一例6个月大发热患儿,静脉使用抗生素治疗无效,给予阿司匹林和静脉注射免疫球蛋白后病情明显改善,从而诊断为非典型川崎病。此外,由于川崎病和儿童多系统炎症综合征有相似特征,该病例带来了诊断难题。