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新生儿川崎病少见,而再发者更为罕见,国内未见报道,现将我们收治的1例报告如下。患儿,男,10天。入院前3天因突发高热,次日解蛋花汤样大便,10余次/日,拒乳、哭闹。入院体检:T40℃,两眼球结膜充血、口唇干、色鲜红,口腔粘膜充血明显,舌呈“杨莓舌”,右侧颈部可触及蚕豆大小淋巴结1个,颈软,心肺(-),躯干及两下肢皮肤可见红色斑丘疹,压之退色,肝右肋下2.5cm,脾未及,指、趾红肿,跖潮红。血:WBC20.2×10~9/L,BPC360×10~9/L,ESR45mm/1h;尿:蛋白(+)、WBC(+);粪:黄烂、脂肪球少许,OB(-);血、尿细菌培养均
Neonatal Kawasaki disease rare, but the recurrence is more rare, no reports of domestic, now we treat one case reported as follows. Children, male, 10 days. 3 days before admission because of sudden high fever, the next day egg drop soup stool, more than 10 times / day, refused to milk, crying. Admission physical examination: T40 ℃, conjunctival hyperemia in both eyes, dry lips, bright red, obvious congestion of oral mucosa, tongue was “Yang Jian ling”, the right neck can reach the size of a broad bean lymph node, soft neck, Torso and lower extremity skin visible red rash, pressure of the fade, liver right rib 2.5cm, spleen and the fingers, toes inflamed, plantar flush. Blood: WBC20.2 × 10-9 / L, BPC360 × 10-9 / L, ESR45mm / 1h; urine: protein (+), WBC Blood, urine bacterial culture are