Clinjcal analysis of misdiagnosis and missed diagnosis for Kawasaki disease

VernacularTitle:川崎病误诊漏诊临床分析
Author: Xiangping XUE
Publication Type:Journal Article
Keywords: Mucocutaneous lymph node syndrome; Diagnostic errors; Child
From: Chinese Journal of Primary Medicine and Pharmacy 2008;15(2):188-189
CountryChina
Language:Chinese
Abstract: Objective To explore the factors of misdiagnosis and missed diagnosis for Kawasaki disease.Methods Clinical data of 27 cases misdiagnosed and missed-diagnosed in Department of Pediatrics of our hospital were retrospectively analyzed.Results There were 8 cases of bronchopneumonia,6 cases of pharyngo-conjunctival fever,5 cases of acute suppurative tonsillitis,4 cases of juvenile rheumatoid arthritis(systemic onset),3 cases of septicemia and 1 case of acute cholecystitis combined hydrops of gallbladder.All these cases were misdiagnosed and missed-diagnosed because the clinical features were not manifest or were covered by other diseases.Conclusion Kawasaki disease was mainly misdiagnosed as fever disease.Echocardiography and other correlative methods should be taken for fever disease which was not reasonably explained by single disease in order to early diagnose and treat Kawasaki disease.