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ISSN 1405-1699 (Print)
Órgano Oficial del Colegio Mexicano de Alergia, Asma e Inmunología Pediátrica y de la Asociación Latinoamericana de Pediatría

1999, Number 4

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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.


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