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BMJ Case Rep. 2017 Nov 8;2017. pii: bcr-2017-222323. doi: 10.1136/bcr-2017-222323.

Safety netting versus overtreatment in paediatrics: viral infection or incomplete Kawasaki disease?

Author information

1
Department of Medicine, National University of Ireland-Galway, Galway, Ireland.
2
Department of Paediatrics, Letterkenny General Hospital, Letterkenny, Donegal, Ireland.
3
Department of Paediatrics, University College Hospital Galway, Galway, Ireland.

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.

KEYWORDS:

cardiovascular medicine; emergency medicine; medical education; paediatrics; primary care

PMID:
29122906
DOI:
10.1136/bcr-2017-222323

Conflict of interest statement

Competing interests: None declared.

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