All issues > Volume 45(8); 2002

Case Report

J Korean Pediatr Soc. 2002;45(8):1048-1051. Published online August 15, 2002.

Atypical Kawasaki Disease Presented with Toxic Shock Syndrome

Kyoung Yeon KY Lee¹, Jun Eun JE Park¹, Woo Sung WS Park¹

¹Department of Pediatrics, College of Medicine, Dankook University, Cheonan, Korea

Correspondence Jun Eun JE Park ,Email: pedpje@dku.edu

Abstract

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.

Keywords :Toxic shock syndrome, Kawasaki disease