Incomplete and atypical presentation of Kawasaki Disease: A report of five cases

Publish Year: 1393
نوع سند: مقاله ژورنالی
زبان: English
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شناسه ملی سند علمی:

JR_HMJ-18-4_017

تاریخ نمایه سازی: 28 بهمن 1402

Abstract:

Introduction: Kawasaki disease (KD) is an acute febrile vasculitis mainly affecting children, with two types of presentation, namely, typical and atypical. It is the most critical cause of coronary artery complications and if not treated on time and appropriately, complications may occur in up to ۲۵% of the patients will get. Patients: This study reports five rare cases of incomplete KD Who has been admitted with diagnosis of Bacterial Meningitis, Staphylococcal Septic Arthritis, Herpetic Gingivostomatitis, Viral Hepatitis and prolonged Fever. Since there was no response to treatment, with impression of Atypical Kawasaki patient has been evaluated and treated. Conclusion: Atypical presentation of the disease led to misdiagnosis and prolonged process of diagnosis. Due to the increasing number of atypical Kawasaki cases and the probability of coronary artery disorder, it is recommended that atypical Kawasaki be considered in the differential diagnosis of the disease in the patients with fever of over five days without any clinical cause.