Internal Medicine
Online ISSN : 1349-7235
Print ISSN : 0918-2918
ISSN-L : 0918-2918
CASE REPORTS
Adult Kawasaki Disease Unrelated to Epstein-Barr Virus and Group A Streptococcus
Tomohiro HATTORIYoshihiro MATSUKAWAMasami TAKEIKenji YAMAGUCHITetsuo YAMAZAKIUmihiko SAWADAShigemasa SAWADATakashi HORIEMamoru AYUSAWANobutaka NOTOKensuke HARADA
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JOURNALS OPEN ACCESS

2005 Volume 44 Issue 11 Pages 1182-1184

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Abstract

A 23-year-old Japanese woman with a fever and generalized skin eruptions was referred to our hospital in July 1999. At admission, her temperature was 38.9°C, and she had fluctuating symptoms including erythema of the extremities, conjunctival hyperemia, strawberry tongue, and generalized skin eruptions, but lymphadenopathy was not verified. An initially elevated urine leukocyte count (more than 100 per high power field) later returned to normal range without antibiotic therapy. Adult Kawasaki disease was diagnosed on the basis of the above symptomology. Echocardiograph showed transient effusion in the pericardium. Using the Harada scoring system for treatment of Kawasaki disease, we gave the patient aspirin and did not administer intravenous immunoglobulin. The clinical course was uneventful, and on the day of discharge (day 22 after onset), the laboratory test results were nearly normal. Laboratory test results were negative for both Epstein-Barr virus and group A Streptococcus.

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© 2005 by The Japanese Society of Internal Medicine
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