medigraphic.com
Órgano Oficial del Colegio Mexicano de Alergia, Asma e Inmunología Pediátrica y de la Asociación Latinoamericana de Pediatría

1999, Number 4

<< Back Next >>

Alerg Asma Inmunol Pediatr 1999; 8 (4)

Kawasaki syndrome associated with Streptococcus pyogenes infection A case report and review of the literature

Castillo MR, Coria LJJ, Espinoza OM, Gómez BD

Language: Spanish
References: 13
Page: 105-108
PDF size: 326.54 Kb.


ABSTRACT

We informed the case of a 3 years-old boy, previously healthy, he began with a clinical presentation of acute tonsillitis, exanthema macular (it began in the face, and was disseminated to trunck, arms and legs), hands and feet edema. It was considered as compatible with Kawasaki’s syndrome. For this reason we administered him immediately intravenous gammaglobulin (IVIG) at his entrance, and equally we gave him aspirin. The patient also developed a piomiositis process and right basal pneumonia, for this, he required treatment with G penicillin crystalline sodium. The pharyngeal cultivation made at his entrance and an outlying blood culture was took while he was in the hospital, and is showed the isolation of Streptococcus pyogenes. It is important to comment that the etiology of this syndrome is not very defined, however in the literature, it has been reported such association with bacterial infectious agents, mainly Staphylococcus aureas and few cases with Streptococcus pyogenes. In our case the patient presented and association with this last microorganism, that’s the reason why we consider important to make comments about the patient and make a clinical analysis together with a review of it’s possible bacterial etiology.


REFERENCES

  1. Álvarez QCl. Enfermedad de Kawasaki. En: Álvarez PE, Palaú CJ. Infecciones en pediatria. Colombia: McGraw Hill 1997; 738-747.

  2. Dajani AS, Taubert K, Gerber M et al. Diagnosis and Therapy of Kawasaki Disease in children. Circulation 1993; 87(5): 1776-1780.

  3. Rowley HA, Shulman TS. Kawasaki Syndrome. Clin Microbiol Rev 1998; 11(3): 405-414.

  4. Decristofaro JRM et al. Coronary aneurysma in a patient with atypical Kawasaky syndrome and a streptococal infection. Pediatric Cardiol 1984: 205-208.

  5. Rowley AH, Shulmand ST. Kawasaky syndrome. Clin Microbiol Rev 1998; 11; 905914.

  6. Leung DH, Meissner HC, Fulton DR, Murray DL, Kotzin BL. Schlievert toxic shock syndrome toxin-secreting Staphylococcus Aureus in Kawasaki syndrome. Lancet 1993; 342: 1385-88.

  7. Rowley AH. Controversies in Kawasaki syndrome. Advance In Pediatric Infectious Diseases 1998; 13: 128-141.

  8. Yanagawa H, Nakamura Y, Kawasaky T. Nationwide epidemic of Kawasaky disease in Japan during winter of 1985-86. Lancet 1986; 2: 1138-1139.

  9. Dean AG, Melish ME, Hicks R. An epidemic of Kawasaky syndrome in Hawai. J Pediatric 1982; 100: 552-557.

  10. Levy M, Koren G. Atypical Kawasaky disease: Analysis of clinical presentation and diagnostic clues. Pediatric infect Dis J 1990; 9: 122-126.

  11. Newburger JW, Takahashi M, Burns JC et al. The treatment of Kawasaki syndrome with intravenous gammaglobulin. N Engl J Med 1986; 315: 341-347.

  12. Newburger JW, Takahashi M, Beiser AS et al. A single infusion of intravenous gammaglobulin compared to four daily doses in the treatment of acute Kawasaki syndrome. N Engl J Med 1991; 324-1633-1639.

  13. Sundel RP, Burns JC, Baker A et al. Gammaglobulin re-treatment in Kawasaki disease. J Pediatr 1993; 123: 657-659.




2020     |     www.medigraphic.com