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以頸部淋巴腺炎為初始表現的川崎病-病例報告

Kawasaki Disease Presenting as Cervical Lymphadenitis-Case Report

摘要


發燒伴隨頸部淋巴腺炎是基層醫療門診中常見的主訴之一,往往被視為細菌感染而以抗生素治療。但是兒科疾病-川崎病(Kawasaki disease)有些也會以頸部淋巴腺炎為初始表現,其發燒型態並無法以抗生素或退燒藥來控制。由於川崎病患者若未給予適當的治療,有可能會有心臟冠狀動脈的併發症,甚至造成心肌梗塞或猝死,因此值得特別注意。在此提出一病例,並探討其處理原則。

並列摘要


At out-patient-department, fever accompanied with cervical lymphadenitis was one of the most common chief complaints. It was often recognized as bacterial infection and antibiotics were administered. However, the patients with Kawasaki disease may have cervical lymphadenitis. The fever could not subside by use of antibiotics or antipyretics. Kawasaki disease might be complicated with coronary artery aneurysm, myocardial infarction or even sudden death if no appropriate management was dopted. Herein we presented one case and discussed the management principle.

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