Waggoner-Fountain L A, Hayden G F, Hendley J O
Department of Pediatrics, University of Virginia Health Sciences Center, Charlottesville 22908, USA.
Clin Pediatr (Phila). 1995 Apr;34(4):185-9. doi: 10.1177/000992289503400403.
We present two case reports of older children who initially presented with cervical lymphadenitis and who were eventually diagnosed and treated for Kawasaki syndrome (KS). Both children presented with unilateral cervical lymphadenopathy and fever and later developed additional clinical features of KS, including cardiac aneurysms in one of the patients. Of the five KS clinical criteria which accompany fever for 5 days, cervical lymphadenopathy of > or = 1.5 cm is the least commonly found. Both patients were treated as having bacterial adenitis prior to the diagnosis of KS. We hope to illustrate that in the case of atypical cervical lymphadenitis, KS should be carefully considered in the differential diagnosis.
我们报告两例大龄儿童的病例，他们最初表现为颈部淋巴结炎，最终被诊断为川崎病（KS）并接受治疗。两名儿童均表现为单侧颈部淋巴结病和发热，后来出现了KS的其他临床特征，其中一名患者还出现了心脏动脉瘤。在发热5天所伴随的五项KS临床标准中，≥1.5 cm的颈部淋巴结病是最不常见的。两名患者在KS诊断之前均被当作细菌性腺炎治疗。我们希望借此说明，对于非典型颈部淋巴结炎病例，在鉴别诊断时应仔细考虑KS。
