Anderson D G, Warner G, Barlow E
Department of Paediatrics, John Hunter Hospital, New Lambton, Australia.
J Paediatr Child Health. 1995 Aug;31(4):355-7. doi: 10.1111/j.1440-1754.1995.tb00827.x.
To describe the illness occurring in four members of a family, which had clinical and laboratory features of Kawasaki disease and streptococcal infection.
A retrospective report of three siblings and an adult male living in one household. The children had serology, blood counts, cultures and echocardiography performed and were treated with antibiotics and gammaglobulin infusions.
The patients developed clinical, and exhibited laboratory, features suggesting streptococcal infection and 4/5 criteria suggesting the diagnosis of Kawasaki disease. All made a good clinical recovery but the youngest developed a coronary artery aneurysm.
It may be difficult to distinguish streptococcal infection and Kawasaki disease. It is possible that some cases of Kawasaki disease are precipitated by streptococcal infection.
描述一个家庭中四名成员所患疾病，该疾病具有川崎病和链球菌感染的临床及实验室特征。
对居住在同一家庭的三名兄弟姐妹和一名成年男性进行回顾性报告。对这些儿童进行了血清学检查、血细胞计数、培养及超声心动图检查，并接受了抗生素和丙种球蛋白输注治疗。
患者出现了提示链球菌感染的临床和实验室特征，以及提示川崎病诊断的4/5项标准。所有人临床恢复良好，但最年幼的患者出现了冠状动脉瘤。
区分链球菌感染和川崎病可能存在困难。某些川崎病病例可能由链球菌感染引发。
