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A Case of Kawasaki Disease with Mycoplasma Pneumonia

Korean Journal of Pediatrics 2005;48(4):438-442.
Published online April 15, 2005.
A Case of Kawasaki Disease with Mycoplasma Pneumonia
Se Min Lee1, So Eun Park1, Yeun Woo Kim2, Jung Yeun Hong2
1Department of Pediatrics, Seoul National University, College of Medicine, Seoul, Korea
2Department of Pediatrics, Cheju University, College of Medicine, Cheju, Korea
마이코플라즈마 폐렴 환아에서 병발한 가와사키병 1례
이세민1, 박소은1, 김연우2, 홍정연2
1서울대학교 의과대학 소아과학교실
2제주대학교 의과대학 소아과학교실
Jung Yeun Hong, Email: hongped@cheju.ac.kr
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.
Key Words: Kawasaki disease , Mycoplasma pneumonia

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