Misdiagnosis of incomplete Kawasaki disease in neonate:a case report and literature review

VernacularTitle:新生儿不完全川崎病1例报告并文献复习
Author: Peng XIONG ; Tonglin LIU ; Yu CHEN ; Wei ZHANG
Keywords: Kawasaki disease; clinical feature; neonate
From: Journal of Clinical Pediatrics 2017;35(3):176-178
CountryChina
Language:Chinese
Abstract: Objective To explore the clinical features, diagnosis, and treatment of Kawasaki disease in neonates. Methods The diagnosis and treatment of incomplete Kawasaki disease in one case were retrospectively analyzed. The related literatures were reviewed. Results Male infant had persistent fever with rash at 26 days after birth. The anti-infective treatment was ineffective. No abnormality was found in the first coronary artery ultrasonography. However, coronary artery dilatation was confirmed by ultrasonography after skin peeling at fingertips. After the treatment of gamma globulin and aspirin, the symptoms of fever and rash were improved. The left dilated coronary artery returned to normal after 3 month. The size of coronary artery and the corresponding indexes were normal in 6-months, 1-year and 3 year follow-ups. Conclusion Neonatal Kawasaki disease is rare and atypical.