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World Journal of Pediatrics
Published in: World Journal of Pediatrics 6/2018

01-12-2018 | Letter to the Editor

Antibiotic use in children with Kawasaki disease

Authors: Seung Beom Han, Soo-Young Lee

Published in: World Journal of Pediatrics | Issue 6/2018

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Excerpt

As the diagnostic criteria for Kawasaki disease (KD) consist of the clinical features that are shared by other childhood febrile illnesses [1, 2], KD is sometimes confused with a bacterial infection, leading to clinical situations in which children with the disease receive antibiotics [3‐5]. Here, we report the extent of antibiotic use in children with KD and the clinical parameters confusing KD with a bacterial infection. …
Literature
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Kawasaki T, Kosaki F, Okawa S, Shigematsu I, Yanagawa H. A new infantile acute febrile mucocutaneous lymph node syndrome (MLNS) prevailing in Japan. Pediatrics. 1974;54:271–6.PubMed
2.
McCrindle BW, Rowley AH, Newburger JW, Burns JC, Bolger AF, Gewitz M, et al. Diagnosis, treatment, and long-term management of Kawasaki disease: a scientific statement for health professionals from the American Heart Association. Circulation. 2017;135:e927–99.CrossRefPubMed
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Ristoska-Bojkovska N, Stavric K, Tasic V. Kawasaki disease misdiagnosed as acute pyelonephritis. Pediatr Nephrol. 2003;18:851–2.CrossRefPubMed
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Benseler SM, McCrindle BW, Silverman ED, Tyrrell PN, Wong J, Yeung RS. Infections and Kawasaki disease: implications for coronary artery outcome. Pediatrics. 2005;116:e760–6.CrossRefPubMed
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Wu CY, Hsieh KS, Chiou YH, Wang RS, Huang IF, Lee WY, et al. Prolonged fever and pyuria: a urinary tract infection presentation of incomplete Kawasaki disease. Acta Paediatr. 2005;94:375–7.CrossRefPubMed
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Han SB, Lee SY, Jeong DC. The presence of coronary artery lesions may indicate the severity of the inflammation rather than the cause. Semin Arthritis Rheum. 2017;47:e6.CrossRefPubMed
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Jan SL, Wu MC, Lin MC, Fu YC, Chan SC, Lin SJ. Pyuria is not always sterile in children with Kawasaki disease. Pediatr Int. 2010;52:113–7.CrossRefPubMed
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Barone SR, Pontrelli LR, Krilov LR. The differentiation of classic Kawasaki disease, atypical Kawasaki disease, and acute adenoviral infection: use of clinical features and a rapid direct fluorescent antigen test. Arch Pediatr Adolesc Med. 2000;154:453–6.CrossRefPubMed
Metadata
Title
Antibiotic use in children with Kawasaki disease
Authors
Seung Beom Han
Soo-Young Lee
Publication date
01-12-2018
Publisher
Childrens Hospital, Zhejiang University School of Medicine
Published in
World Journal of Pediatrics / Issue 6/2018
Print ISSN: 1708-8569
Electronic ISSN: 1867-0687
DOI
https://doi.org/10.1007/s12519-018-0157-3

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