1 case of Kawasaki disease complicated by facial paralysis.docVIP

 PAGE \* MERGEFORMAT 4 1 case of Kawasaki disease complicated by facial paralysis [Keywords:] disease, facial paralysis A medical record Children, male, 6 months, 6 days because of fever on August 9, 2007 admission. Admission examination: T 37.6 ℃, P 144 times / min, R 38 times / min, clear mind, body visible red spotted , swollen feet slightly harder end of the skin, superficial lymph node swelling, conjunctival hyperemia significantly, vermilion chapped, pharynx red (+, tonsil little thicker breath sounds in both lungs, is not known, and rales, heart rate, Qi, heart sounds powerful, did not hear noise, abdomen is soft, the liver ribs 1 cm, soft, spleen not palpable. neurological examination was normal. auxiliary examination: blood: WBC 11.6 × 109 / L, RBC 4.16 × 1012 / L, Hb 100 g / L, PLT 393 × 109 / L, L 0.39, N 0.47.CRP 37 mg / L, ESR 41 mm / 1 h, electrolytes, enzymes, liver function, kidney function, blood gas analysis showed no abnormality, heart ultrasound was normal. admission diagnosis: disease, to high-dose intravenous immunoglobulin (2 g / kg, in 2 days and aspirin therapy in children admitted to hospital on day 3 normal body temperature, conjunctival congestion disappeared, vermilion chapped improvement. The first four days was gradually increased from the PLT, plus dipyridamole treatment. vermilion chapped 6th day disappear feet extremities visible scaling. hospitalized 7 days, askew to the left altercation occurred in children, the right nasolabial fold change light, the right eyelid closure obstacles, consider peripheral facial paralysis, add to the prednisone, Vit B12 and local physical therapy, acupuncture and other treatment. hospitalization reduction began on day 5 of aspirin, patients August 27, 2007 at discharge, discharge is still mouth askew, the right nasolabial fold shallow, right eyelid closure obstacles, but has improved. discharged to continue outpatient physical therapy, acupuncture and other treatment. 1 month after disc