摘要
患儿 男，11个月18d，间断发热20d，抽搐1次入院。发热第3天全身出现充血性皮疹。双眼结膜充血，口唇红。并程第4天外院予“头孢吡肟和地塞米松”治疗10d，体温降至正常，皮疹消退。3d后又出现发热，再予“阿奇霉素、头孢吡肟和氢化可的宋琥珀酸钠”治疗3d，体温无下降趋势。病程第20天出现右侧肢体强直抽搐，神志不清。经“水合氯醛、地西泮和甘露醇”等治疗，2h停止。
出处
《中华儿科杂志》
CAS
CSCD
北大核心
2012年第8期628-629,共2页
Chinese Journal of Pediatrics
参考文献11
-
1李瑞燕,李晓辉,徐酉华,周敏,张砺,李晋蜀.细菌感染在川崎病发病及冠状动脉损害中的作用研究[J].中国全科医学,2010,13(35):4002-4004. 被引量：5
-
2Newburger JW, Takahashi M, Gerber MA, et al. Diagnosis, treatment, and long-term management of Kawasaki disease: A statement for health professionals form the Committee on Rheumatic Fever. Endocarditis, and Kawasaki Disease, Council on Cardiovascular Disease in the Young, American Heart Association. Pediatrics, 2004, 114 : 1708-1733.
-
3王宏伟.皮肤粘膜淋巴结综合征的神经系统并发症[J].国外医学（儿科学分册）,1990,17(3):116-118. 被引量：4
-
4Lapointe JS, Nugent RA, Graeb DA, et al. Cerebral infarction and regression of widespread anemysms in Kawasaki's disease: case report. Pediatr Radial, 1984, 14:1-5.
-
5Laxer RM, Dunn HG, Flodmark O. Acute hemiplegia in Kawasaki disease and infantile palyarteritis nodosa. Dev Med Child Neurol, 1984, 26:814-818.
-
6Boespflug O, Tardieu M, Losay J, et al. Acute hemiplegia complicating Kawasaki disease. Rev Neurol (Paris), 1984, 140: 507 -509.
-
7Scully RE, Mark EJ, Mcneely BU. Case records of the Massachusetts General Hospital. Weekly clinicopathological exercises. Case 43-1986. An 11-year-old girl with a rash, ataxia, and cranial-nerve palsies. N Engl J Med, 1986, 315:1143-1154.
-
8Wada Y, Kamei A, Fujii Y, et al. Cerebral infarction after high- dose intravenous immunoglobulin therapy for Kawasaki disease. J Pediatr, 2006, 148:399-400.
-
9Templeton PA, Dunne MG. Kawasaki syndrome: cerebral and cardiovascular complications. J Clin Ultrasound, 1987, 15:483- 485.
-
10Fujiwara S, Yamano T, Hattori M, et al. Asymptomatic cerebral infarction in Kawasaki disease. Pediatr Neurol, 1992, 8:235- 236.
二级参考文献13
-
1Pinna GS,Kafetzis DA,Tselkas OI,et al.Kawasaki disease:an overview[J].Current Opinion in Infectious Diseases,2008,21(3):263-270.
-
2Wang CL,Wu YT,Liu CA,et al.Kawasaki disease infection,immunity and genetics[J].Pediatr Infect Dis J,2005,24(11):998-1004.
-
3Burgner D,Harnden A.Kawasaki disease:what is the epidemiology telling us about the etiology[J].J Inter Infect Dise,2005,9(3):185-194.
-
4Matsubara K,Fukaya T.The role of superantigens of group a streptococcus and staphylococcus aureus in kawasaki disease[J].Curre Opin in Infect Dis,2007,20(3):298-303.
-
5Leung DY,Meissner HC,Shulman ST,et al.Prevalence of superantigen-secreting bacteria in patients with kawasaki disease[J].J Pediatr,2002,140(6):742-746.
-
6Matsubara K,Fukaya T,Miwa K,et al.Development of serum IgM antibodies against superantigens of staphylococcus aureus and streptococcus pyogenes in kawasaki disease[J].Clin Exp Immunol,2006,143(3):427-434.
-
7Tomohiro Suenaga MD.Detection of multiple superantigen genes in stools of patients with kawasaki disease[J].J Pediatr,2009,155(2):266-270.
-
8Chou CT,Chang JS,Ooi SE,et al.Serum anti-yersinia antibody in chinese patients with kawasaki disease[J].Arch Med Res,2005,36(1):14-18.
-
9Haruki Komatsu,Tomoo Fujisawa.Kawasaki disease and infection[J].Nippon Rinsho,2008,66(2):278-282.
-
10胡亚美 江载芳.诸福棠实用儿科学[M] 7版[M].北京:人民卫生出版社,2002.698-705.
共引文献7
-
1李海,王俊英.川崎病88例临床分析[J].山西医药杂志,2007,36(2):176-177. 被引量：2
-
2李秀真.12例小儿川崎病脑电图结果分析[J].中国优生与遗传杂志,1997,5(4):94-94.
-
3段君凯,邹峥,彭晓卫,许飞.小儿川崎病几种少见并发症的诊疗体会[J].江西医药,2002,37(2):101-102.
-
4徐华英,徐康,周正可.川崎病患儿医院感染的危险因素分析[J].中华医院感染学杂志,2014,24(19):4885-4886. 被引量：3
-
5徐小桥.血浆前降钙素与细菌性川崎病的关系研究[J].中外医疗,2014,33(18):27-28. 被引量：1
-
6王琼,沈方方,吴鸣.川崎病患儿急性期免疫功能变化及其意义[J].中国现代医生,2016,54(12):14-16. 被引量：4
-
7李焰,吴新丹,王献民,文一州,柳颐龄,陈婷婷,石坤,卢亚亨.细菌感染对川崎病预后的影响[J].儿科药学杂志,2020,26(11):8-12. 被引量：2
同被引文献16
-
1覃丽君,王宏伟,胡秀芬,刘清军,施虹,隈远祥,陈全景,程佩萱.静脉注射不同剂量丙种球蛋白治疗川崎病的临床研究[J].中华儿科杂志,2006,44(12):891-895. 被引量：40
-
2王建军,邹丽萍,石凯丽,李久伟,蒋丽琼,吴沪生,方方,丁昌红,肖静,吕俊兰.北京市儿童医院10年儿童脑卒中疾病谱回顾性分析[J].中国循证儿科杂志,2007,2(4):259-264. 被引量：12
-
3无,赵晓东（整理）,杜忠东（整理）.川崎病专题讨论会纪要[J].中华儿科杂志,2007,45(11):826-830. 被引量：149
-
4Tizard EJ. Complications of Kawasaki disease[J]. Curr Paediatr, 2005, 15: 62-68.
-
5Suda K, Matsumura M, Ohta S. Kawasaki disease complicated by cerebral infarction[J]. Cardiol Young, 2003, 13(1): 103-105.
-
6Lapointe JS, Nugent RA, Graeb DA, et al. Cerebral infarction and regression of widespread aneurysms in Kawasaki's disease: case report[J]. Pediatr Radiol, 1984, 14(1): 1-5.
-
7Fujiwara S, Yamano T, Hattori M, et al. Asymptomatic cerebral infarction in Kawasaki disease[J]. Pediatric Neurology, 1992, 8(3): 235-236.
-
8Sabatier I, Chabrier S, Brun A, et al. Stroke by carotid artery complete occlusion in kawasaki disease: case report and review of literature[J]. Pediatr Neurol, 2013, 49(6): 469-473.
-
9Chyatte D, Bruno G, Desai S, et al. Inflammation and intracranial aneurysms[J]. Neurosurgery, 1999, 45(5): 1137- 1146. T.
-
10abarki B, Mahdhaoui A, Selmi H, et al. Kawasaki disease with predominant central nervous system involvement[J]. Pediatr Neurol, 2001, 25(3): 239-241.
-
1周晓峰,申庆阳.格林巴利综合征误诊为脑梗死2例[J].中国社区医师（医学专业）,2005,7(14):61-61.
-
2张方成,魏志玄.脱髓鞘假瘤一例[J].中华神经外科杂志,2011,27(2):189-189. 被引量：1
-
3薛静,曲璇.发热、关节痛、肌无力、皮疹待查[J].基础医学与临床,2005,25(9):862-866.
-
4康超文,刘觉仕.经椎动脉入路治疗颈内动脉海绵窦瘘1例[J].实用医学杂志,2010,26(3):406-406. 被引量：2
-
5王留涛,宋守智.烟雾病同一家族3例[J].中国冶金工业医学杂志,2008,25(1):88-88.
-
6张国权.82岁麻疹患者的治疗个案[J].当代医学,2008,14(11):73-73.
-
7张永慧,王宝军,李月春.伴有精神障碍的桥本脑病一例[J].内蒙古医学杂志,2013,45(6):765-766.
-
8尹洪竹,赵彩彦.以发热、皮疹伴肝功能损害为表现的儿童肝豆状核变性[J].临床误诊误治,2011,24(11):77-79. 被引量：2
-
9徐忠祥,徐祖才,张骏.流行性出血热并发蛛网膜下腔出血2例[J].广东医学,2009,30(10):1591-1591.
-
10孙素娟,褚丽芳,贾倩,王建华.高龄吉兰-巴雷综合征一例[J].脑与神经疾病杂志,2013,21(2):151-152.
