川崎病(KD)是一种主要影响儿童的急性系统性血管炎,以发热和多系统受累为特征。我们在一个以前健康的13周大的发烧婴儿中提出了一个令人信服的KD案例,烦躁,减少进食,以及随后的经典粘膜皮肤表现的发展,包括双侧非化脓性结膜炎,嘴唇裂开,和红斑皮疹.实验室发现显示炎症标志物升高,血小板增多症,和嗜中性白细胞增多症,与诊断一致。患者开始静脉注射免疫球蛋白(IVIG),剂量为2g/kg,静脉注射甲基强的松龙,和高剂量的阿司匹林.婴儿最终被转移到三级护理医院进行综合管理。由于该案件在非典型年龄组中的表现,因此很有趣。及时识别和管理KD对于预防冠状动脉异常的发展至关重要。该病例强调了在发热和异常临床表现的婴儿的鉴别诊断中考虑KD的重要性。即使没有典型的心脏受累。早期识别和适当的治疗对于预防潜在的并发症和改善预后至关重要。
Kawasaki disease (KD) is an acute systemic vasculitis primarily affecting children, characterized by fever and multisystem involvement. We present a compelling case of KD in a previously healthy 13-week-old infant who presented with fever, irritability, reduced feeding, and the subsequent development of classical mucocutaneous manifestations, including bilateral non-purulent conjunctivitis, cracked lips, and an erythematous rash. Laboratory findings revealed elevated inflammatory markers, thrombocytosis, and neutrophilic leukocytosis, consistent with the diagnosis. The patient was started on intravenous immunoglobulins (IVIG) at a dose of 2g/kg, IV methylprednisolone, and a high dose of aspirin. The infant was eventually transferred to a tertiary care hospital for comprehensive management. The case is intriguing due to its presentation in an atypical age group. Prompt recognition and management of KD are crucial to prevent the development of coronary artery abnormalities. This case underscores the importance of considering KD in the differential diagnosis of infants with fever and unusual clinical presentations, even in the absence of typical cardiac involvement. Early identification and appropriate treatment are essential to prevent potential complications and improve outcomes.