Internal Medicine
Online ISSN : 1349-7235
Print ISSN : 0918-2918
ISSN-L : 0918-2918
CASE REPORTS
Far East Scarlet-like Fever Masquerading as Adult-onset Kawasaki Disease
Kazuki OchoMasaya IwamuroKou HasegawaHideharu HagiyaKammei RaiTetsuya YumotoFumio Otsuka
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JOURNALS OPEN ACCESS

2018 Volume 57 Issue 3 Pages 437-440

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Abstract

A previously healthy 31-year-old man was referred to us with refractory septic shock accompanied by bilateral conjunctival congestion and erythema of his right lower limb. Nine days after admission, he had bilateral desquamation of the fingertips, and his presentation satisfied the criteria for Kawasaki disease. A serological examination was positive for Yersinia pseudotuberculosis, and he was diagnosed with Far East scarlet-like fever (FESLF). Interestingly, his 11-month-old baby boy had similar symptoms around the same time, indicating the intrafamilial transmission of the pathogen. We should consider FESLF when we encounter a familial occurrence of systemic manifestations of Kawasaki disease.

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© 2018 by The Japanese Society of Internal Medicine
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