1. Safety netting versus overtreatment in paediatrics: viral infection or incomplete Kawasaki disease?
- Author
-
Bernadette Power, Edina Moylett, and Jennifer M Charlesworth
- Subjects
Male ,Pediatrics ,medicine.medical_specialty ,Fever ,Prolonged fever ,White ,Medical Overuse ,Mucocutaneous Lymph Node Syndrome ,030204 cardiovascular system & hematology ,Viral infection ,paediatrics ,Diagnosis, Differential ,Secondary care ,primary care ,03 medical and health sciences ,0302 clinical medicine ,emergency medicine ,030225 pediatrics ,medicine ,Humans ,1-5 years ,business.industry ,Oral mucous membrane ,Immunoglobulins, Intravenous ,General Medicine ,Exanthema ,medicine.disease ,Reminder of Important Clinical Lesson ,Anti-Bacterial Agents ,Treatment Outcome ,cardiovascular medicine ,Virus Diseases ,Child, Preschool ,Kawasaki disease ,Differential diagnosis ,medical education ,business ,Europe (West) ,Algorithms ,Systemic vasculitis - Abstract
Kawasaki disease (KD) is the most common systemic vasculitis of childhood. The following presentation of a 4-year-old Irish boy referred to a secondary care paediatric service from the community with prolonged fever, oral mucous membrane changes and painless blistering lesions of the hands and feet in the presence of elevated inflammatory markers serves as an opportunity to discuss the diagnostic criteria and treatment for KD and incomplete KD, an often missed diagnosis with significant paediatric morbidity outside an academic paediatric centre.
- Published
- 2017
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