PMID- 24382535
OWN - NLM
STAT- MEDLINE
DCOM- 20150120
LR  - 20140102
IS  - 2791-6421 (Electronic)
IS  - 0041-4301 (Linking)
VI  - 55
IP  - 5
DP  - 2013 Sep-Oct
TI  - Incomplete Kawasaki disease in an infant presenting with only prolonged fever.
PG  - 529-32
AB  - A 2.5-month-old boy admitted to our hospital with irritability, poor feeding and 
      fever of 12 hours duration. On physical examination, he was febrile and extremely 
      irritable. Initial whole blood count revealed a hemoglobin level of 10.1 g/dl, 
      white blood count of 17,800/mm3 and platelet count of 454,000/mm3. Erythrocyte 
      sedimentation rate was 80 mm/h and C-reactive protein was 3.96 mg/dl. Biochemical 
      examinations of serum, urinalysis, chest X-ray, and analysis of cerebrospinal 
      fluid (CSF) were normal. He was started on intravenous ampicillin and ceftriaxone 
      empirically for provisional occult bacteremia. His blood, urine and CSF cultures 
      were negative. On the 7th day of the treatment, there were no additional symptoms 
      or findings other than fever. Echocardiography revealed aneurysms in both the 
      left and right coronary arteries. Intravenous immunoglobulin (IVIG) and per oral 
      aspirin were administered, and the fever resolved after IVIG infusion. Two years 
      later, the echocardiography showed disappearing of the saccular aneurysm on the 
      right coronary artery, but the dilatation of the left coronary artery was 
      persisting. In conclusion, incomplete Kawasaki disease should always be included 
      in the differential diagnosis of an infant with persistent fever, especially one 
      younger than three months of age, when the conventional work-up fails to reveal 
      the underlying cause.
FAU - Ozdemir, Halil
AU  - Ozdemir H
AD  - Division of Pediatric Infectious Diseases, Ankara University Faculty of Medicine, 
      Ankara, Turkey. doktorhalil@gmail.com.
FAU - Ciftci, Aylin
AU  - Ciftci A
FAU - Karbuz, Adem
AU  - Karbuz A
FAU - Ciftci, Ergin
AU  - Ciftci E
FAU - Tutar, Ercan
AU  - Tutar E
FAU - Atalay, Semra
AU  - Atalay S
FAU - Ince, Erdal
AU  - Ince E
LA  - eng
PT  - Case Reports
PT  - Journal Article
PL  - Turkey
TA  - Turk J Pediatr
JT  - The Turkish journal of pediatrics
JID - 0417505
SB  - IM
MH  - Fever
MH  - Humans
MH  - Infant
MH  - Male
MH  - Mucocutaneous Lymph Node Syndrome/*diagnosis
EDAT- 2014/01/03 06:00
MHDA- 2015/01/21 06:00
CRDT- 2014/01/03 06:00
PHST- 2014/01/03 06:00 [entrez]
PHST- 2014/01/03 06:00 [pubmed]
PHST- 2015/01/21 06:00 [medline]
PST - ppublish
SO  - Turk J Pediatr. 2013 Sep-Oct;55(5):529-32.