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川崎病又称皮肤粘膜淋巴结综合征(MCLS),是一种以全身血管炎变为主要病理的急性发热性出疹性小儿疾病,因其临床表现多样化,极易误诊、漏诊。现将1例川崎病误诊上呼吸道感染报道如下。患儿男,2岁,因持续发热2天入院。查体:体温39.5℃,急性病容,双侧球结膜充血,口唇潮红,咽部弥漫性充血,扁桃体1度肿大,颈部可触及数个肿大的淋巴结,大者2.0cm×2.5cm,压痛,双肺呼吸音粗,心音低钝,律齐,无杂音,腹平软。实验室检查:白细胞13.2
Kawasaki disease, also known as mucocutaneous lymph node syndrome (MCLS), is a type of acute febrile and inflamed pediatric disease that causes systemic vasculitis to become a major pathology. Because of its diverse clinical manifestations, it is extremely misdiagnosed and misdiagnosed. A case of Kawasaki disease is now misdiagnosed upper respiratory tract infection are reported below. Children male, 2 years old, admitted to hospital for 2 days due to persistent fever. Examination: body temperature 39.5 ℃, acute disease, bilateral conjunctival hyperemia, lip flush, pharyngeal diffuse hyperemia, tonsil 1 degree enlargement, the neck can reach several swollen lymph nodes, the larger 2.0cm × 2.5cm, Tenderness, breath sounds coarse lungs, heart sounds low blunt, law Qi, no noise, abdominal soft. Laboratory tests: WBC 13.2