Clinical and Experimental Pediatrics

The Korean Pediatric Society (대한소아청소년과학회)
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Atypical Kawasaki Disease Presented with Toxic Shock Syndrome

독성 쇼크 증후군 증상을 나타낸 비전형적 가와사끼병 1례

  • Lee, Kyoung Yeon (Department of Pediatrics, College of Medicine, Dankook University) ;
  • Park, Jun Eun (Department of Pediatrics, College of Medicine, Dankook University) ;
  • Park, Woo Sung (Department of Pediatrics, College of Medicine, Dankook University)
  • 이경연 (단국대학교 의과대학 소아과학교실) ;
  • 박준은 (단국대학교 의과대학 소아과학교실) ;
  • 박우성 (단국대학교 의과대학 소아과학교실)
  • Received : 2002.03.13
  • Accepted : 2002.06.14
  • Published : 2002.08.15
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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.

저자들은 8세 남아에서 고열, 저혈압, 부정형 피부 발진, 의식저하, 결막염, 구토, 설사, 핍뇨, 혈소판 저하, 혈액배양 음성과 같은 독성 쇼크 증후군의 증상과 함께 관상동맥류를 포함한 가와사끼병의 임상증상을 보인, 독성 쇼크 증후군 증상으로 나타난 비전형적 가와 사끼병 1례를 경험하였기에 문헌고찰과 함께 보고하며, 독성 쇼크 증후군의 치료 중 발열이 지속될 때 가와사끼병의 비전형적인 증상 발현일 수 있음을 염두해야 할 것으로 사료된다.

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