1 case of Kawasaki disease complicated by deafness.docVIP

 PAGE \* MERGEFORMAT 4 1 case of Kawasaki disease complicated by deafness [Keywords:] Kawasaki disease; complications; deafness A medical record Children, male, 2 years and 6 months. With fever, red eye hospital with chief complaint of 2 weeks. Children 2 weeks ago no incentive fever, body temperature fluctuations at 38.5 ℃ ~ 39.5 ℃, after the onset of conjunctival hyperemia eyes, lips and mucous membranes red and chapped, the right lymph nodes. the local press had “Mumps” given penicillin, ribavirin and other conditions did not improve after treatment. previously healthy, normal growth and development, 1 year 6 months can speak. examination: T 36.7 ℃, P 112 times / min, R 26 times / min. normally be, conscious. no rash, swollen lymph nodes on the right diameter of about 1 cm. eyes, conjunctival hyperemia, chapped lips red blood scab. strawberry tongue, flushing of the oral mucosa, pharynx congestion. cardiopulmonary abdomen were normal. perianal skin flushing, peeling. acral peeling no hard swelling. the nervous system were normal. auxiliary examination: WBC 11.9 × 109 / L, RBC 4.25 × 1012 / L, hemoglobin 119 g / L, platelets 666 × 109 / L, erythrocyte sedimentation rate 1 h 27 mm, anti-”O”, rheumatoid factor negative. Immune globulin, complement C3, C4 normal. enzyme LDH 257 u / L , CK and CK-MB is normal. liver and kidney function, electrolytes normal. electrocardiogram normal. echocardiography: the left coronary artery was 0.38 cm, right 0.35 cm, shows the limitations of bilateral mild expansion. hospitalized children found the first 2 days hearing loss, no abnormal head CT, the first electronic hearing test 125 dB without hearing, and the second measured power 133 dB hearing before a hearing. inquiry after the onset of the medication history, medication history and other related non-aminoglycosides. diagnosis of Kawasaki disease complicated with deafness, admitted that given IVIG 1 g / (kg · d × 2, aspirin 30 mg / (kg · d divided 3 times, dipyrida