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Atypical Kawasaki Disease Presented with Toxic Shock Syndrome

Journal of the Korean Pediatric Society 2002;45(8):1048-1051.
Published online August 15, 2002.
Atypical Kawasaki Disease Presented with Toxic Shock Syndrome
Kyoung Yeon Lee, Jun Eun Park, Woo Sung Park
Department of Pediatrics, College of Medicine, Dankook University, Cheonan, Korea
독성 쇼크 증후군 증상을 나타낸 비전형적 가와사끼병 1례
이경연, 박준은, 박우성
단국대학교 의과대학 소아과학교실
Jun Eun Park, Email: pedpje@dku.edu
Toxic shock syndrome(TSS) is clinically similar to Kawasaki disease(KD) in that both of them are characterized by fever, desquamating rash and mucous membrane erythema. In contrast the main feature of TSS is hypotension, whereas the complication of KD is coronary vasculitis. We report an 8-year-old boy who fulfilled the crireria for TSS and KD. Initially he showed clinical features of TSS, so he was treated with intravenous antibiotics and supportive management. But the fever sustained, and the coronary aneurysm that is the main complication of Kawasaki disease was shown by echocardiogram on Day 14. He was treated with intravenous immunoglobulin twice and the fever subsided and general condition was improved.
Key Words: Toxic shock syndrome, Kawasaki disease

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