摘要
Abstract
Objective To summarize the characteristics of incomplete Kawasaki disease and to discuss the causes of misdiagnosis and preventive measures.Methods The case data of seven children with incomplete Kawasaki disease misdiag-nosed from July 2021 to August 2023 were retrospectively analyzed.Results Among the 7 patients in this group,3 patients presented with repeated fever for 5-12 d,and the clinical manifestations were persistent fever,chills,and poor appetite.There were 4 patients with recurrent fever,pharyngeal discomfort and cough for 7-10 d.Three patients were misdiagnosed with sepsis and 4 patients with pneumonia.The misdiagnosis lasted 8-19(11.41±2.06)d.After initial treatment,the condition of the 7 patients did not improve significantly.They were treated in our hospital,and after further cardiac ultrasound examination,combined with the clinical symptoms of the children and the results of blood laboratory examination,they were ultimately diag-nosed with incomplete Kawasaki disease.After diagnosis,intravenous infusion of human immunoglobulin was given,and aspi-rin enteric-coated tablets were taken orally(the dosage was reduced after the children had no fever).For patients with coro-nary artery disease,anticoagulant therapy was selected according to the grade of the children,and auxiliary support therapy was given.The condition of 7 patients improved after treatment.During the follow-up,1 patient had recurrent fever and was rehospitalized,and the remaining 6 patients had a good prognosis.Conclusion The clinical manifestations of incomplete Ka-wasaki disease are not typical,and it is more likely to be confused with other infectious diseases in pediatrics,resulting in misdiagnosis.It is necessary to strengthen the understanding and differential diagnosis ability of clinicians for incomplete Ka-wasaki disease,comprehensively analyze the clinical manifestations and laboratory examination results of children,and im-prove the cardiac ultrasound examination of children,so as to reduce the occurrence of misdiagnosis.关键词
不全性川崎病/儿童/误诊/脓毒症/肺炎/发热/红细胞沉降率/鉴别诊断Key words
Incomplete Kawasaki disease/Children/Misdiagnosis/Sepsis/Pneumonia/Fever/Erythrocyte sedi-mentation rate/Differential diagnosis分类
临床医学
