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A Case of Kawasaki Disease with Mycoplasma Pneumonia  

Lee, Se Min (Department of Pediatrics, Seoul National University, College of Medicine)
Park, So Eun (Department of Pediatrics, Seoul National University, College of Medicine)
Kim, Yeun Woo (Department of Pediatrics, Cheju University, College of Medicine)
Hong, Jung Yeun (Department of Pediatrics, Cheju University, College of Medicine)
Publication Information
Clinical and Experimental Pediatrics / v.48, no.4, 2005 , pp. 438-442 More about this Journal
Abstract
Kawasaki disease is an acute febrile vasculitis that occurs predominantly in young children under 5-years-old. The patients present generally with a high spiking fever that is unresponsive to antibiotics and lasts for more than five days at least. Prolonged fever has been shown to be a risk factor in the development of coronary artery disease. It seems to be certain that infectious agents are associated with the pathogenesis of Kawasaki disease. The differential diagnosis of Kawasaki disease must rule out infectious diseases including scarlet fever, toxic shock syndrome, measles, and so on. This is very important for adequate treatment and prevention of cardiac complications of Kawasaki disease. We experienced a 25-month-old boy who had high fever and pneumonic consolidation in the right middle and lower lobe of the lung that was considered as mycoplasma pneumonia on admission and developed coronary artery aneurysmal dilatation during treatment with roxythromycin.
Keywords
Kawasaki disease; Mycoplasma pneumonia;
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