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Mycoplasma infection with Kawasaki disease on the clinical report of 1 case
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Mycoplasma infection with Kawasaki disease on the clinical report of 1 case
Study: High-Mouri Caoyan Fen Zhang Huiyun
Kawasaki disease is a kind of systemic vasculitis as the main lesions in children with acute febrile rash illness, because of the rich in Kawasaki, Japan in 1967 as the first report of a doctor, so called Kawasaki disease. In infants and children may be the disease, but 80% - 85% of the patients in the 5 years of age, occur in 6-18 months old, male: female 1.3-1.5:1, the specific cause is not yet clear, our children after rheumatic fever is the second major cause of acquired heart disease, so increasing their attention, and gradually increased the clinical reports, misdiagnosis rates were higher with the report and, here a case of mycoplasma infection complicated cases of Kawasaki disease, and of what clinical experience.
1, clinical data
1.1 Diagnostic criteria Before the diagnostic criteria of [1]: with the following six key indicators of at least five, ① unexplained fever for 5 days or longer; ② bilateral conjunctival congestion; ③ oral and pharyngeal mucosa diffuse congestion , red and chapped lips and tongue were bayberry; ④ the early stages, swollen limbs and hard red palms and soles, as well as membrane peeling recovery Zhi Zhi end there; ⑤ trunk erythema multiforme, but no blisters and knot crazy; ⑥ non-suppurative cervical lymph node enlargement. But the two-dimensional echocardiography or coronary angiography or coronary aneurysm detected expansion of the four main symptoms of the positive can be confirmed. Not yet reached the typical diagnostic criteria, clinical manifestations, but have incomplete cases of the disease than other, more known as incomplete of the disease, with statistics, incomplete Kawasaki disease accounts for about 10-20% [1].
1.2 Case Introduction Yan certain children, 6 years old, female, mainly due to fever 7 days hospitalization. 7 days before admission, fever
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