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CASE REPORT
Korean J Pediatr 2005 April;48(4) :438-442.
A Case of Kawasaki Disease with Mycoplasma Pneumonia
Se Min Lee (Lee SM)1, So Eun Park (Park SE)1, Yeun Woo Kim (Kim YW)2, Jung Yeun Hong (Hong JY)2
1Department of Pediatrics, Seoul National University, College of Medicine, Seoul, Korea
2Department of Pediatrics, Cheju University, College of Medicine, Cheju, Korea
Corresponding Author: Jung Yeun Hong ,Email: hongped@cheju.ac.kr
Copyright © 2005 by The Korean Pediatric Society
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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