All issues > Volume 30(11); 1987

Original Article

J Korean Pediatr Soc. 1987;30(11):1259-1264. Published online November 30, 1987.

A Case of Mucocutaneous Lymph Node Syndrome Complicated by Aseptic Meningitis, Hydrops of the Gallbladeder and Dilatation of the Coronary Arteries.

Ho Jin Lee¹, Sung Sook Cho¹, Hyung Sik Moon¹, Hong Kue Lee¹, Soon Il Lee¹, Young Seok Lee¹

¹Department of Pediatrics, Sowha Children
²Department of Radiology, Sowha Children

Abstract

We experienced 1 case of mucocutaneous lymph node syndrome complicated by aseptic meningitis, hydrops of the gallbladder and dilatation of the coronary arteries in 2 year 8 month old female infant. Her clinical synptoms, laboratory data and clinical courses were presented with brief review of the literatures. This baby admitted because of high fever and vomiting for 6 days. She had injection of the global conjunctiva, dry fissured lip, injected throat, left cervical lymph node(1.5x2.0 cm), suspicious neck stiffness and swelling of hands & feet on admission, but no skin rash. The tips of the fingers and toes were desquamated on Hospital Day 8. Spinal tapping was done 5 times in the duration of admission. The cerebrospinal fluid finding showed cell count 12-28/mm3(mainly lymphocyte), sugar & protein: normal value. The C.S.F finding was normalized on Hospital Day 24. Abdominal ultrasonography showed distension of the gallbladder with folding on Hospital Day 2. Two D. echocardiography at the aortic level of parasternal short axis plane showed dilatation of the coronary arteries (left; 3.5 mm, right;3.5 mm) on Hospital Day 17, which was subsided on Hospital Day 31.

Keywords :Mucocutaneous lymph node syndrome; Aseptic meningitis; Hydrops of the gallbladder; dilatation of the coronary artery.