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目的探讨儿童肺炎支原体(MP)感染并不完全川崎病(KD)临床特点,以提高诊断水平,减少误诊发生。方法对2006-01-2010-10符合肺炎支原体(MP)感染并不完全KD住院病例13例患儿临床资料、治疗情况、转归进行分析。结果 13例均有发热,球结膜充血11例,皮疹7例,口腔黏膜改变8例,手足水肿、指(趾)端蜕皮6例,颈部淋巴结肿大4例,卡痕、肛周潮红6例。误诊为猩红热、淋巴结炎、支气管肺炎、败血症、MP感染并肺外表现。结论 MP感染并是引起不完全KD原因之一,早期易误诊漏诊。
Objective To investigate the clinical features of Kawasaki disease (KD) in children with Mycoplasma pneumoniae (MP) infection and to improve the diagnosis and reduce the misdiagnosis. Methods The clinical data, treatment and prognosis of 13 children with mycoplasma pneumonia (MP) infection who were not fully KD hospitalized in 2006-01-2010-10 were analyzed. Results All the 13 cases had fever, conjunctival hyperemia in 11 cases, rash in 7 cases, oral mucosal changes in 8 cases, hand-foot edema, finger-toe shedding in 6 cases, cervical lymph node enlargement in 4 cases, card marks, perianal flushing 6 example. Misdiagnosed as scarlet fever, lymphadenitis, bronchial pneumonia, sepsis, MP infection and extrapulmonary manifestations. Conclusion MP infection is one of the causes of incomplete KD. Early misdiagnosis missed diagnosis.