Atypical Kawasaki Disease Presented with Toxic Shock Syndrome.
- Author:
Kyoung Yeon LEE
1
;
Jun Eun PARK
;
Woo Sung PARK
Author Information
1. Department of Pediatrics, College of Medicine, Dankook University, Cheonan, Korea. pedpje@dku.edu
- Publication Type:Case Report
- Keywords:
Toxic shock syndrome;
Kawasaki disease
- MeSH:
Anti-Bacterial Agents;
Child;
Coronary Aneurysm;
Erythema;
Exanthema;
Fever;
Humans;
Hypotension;
Immunoglobulins;
Male;
Mucocutaneous Lymph Node Syndrome*;
Mucous Membrane;
Shock, Septic*;
Vasculitis
- From:Journal of the Korean Pediatric Society
2002;45(8):1048-1051
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Toxic shock syndrome(TSS) is clinically similar to Kawasaki disease(KD) in that both of them are characterized by fever, desquamating rash and mucous membrane erythema. In contrast the main feature of TSS is hypotension, whereas the complication of KD is coronary vasculitis. We report an 8-year-old boy who fulfilled the crireria for TSS and KD. Initially he showed clinical features of TSS, so he was treated with intravenous antibiotics and supportive management. But the fever sustained, and the coronary aneurysm that is the main complication of Kawasaki disease was shown by echocardiogram on Day 14. He was treated with intravenous immunoglobulin twice and the fever subsided and general condition was improved.
