Sterile pyuria as the initial finding in a case with Kawasaki disease
Journal Title: Dicle Tıp Dergisi - Year 2015, Vol 42, Issue 3
Abstract
Kawasaki disease is a multisystemic vasculitis of pediatric age group. Early diagnosis and treatment is crucial as coronary artery aneurysms may develop in 20-25% of untreated cases in the 2nd-3rd weeks of the disease. The most common urinary finding in the active period is sterile pyuria; which is believed to be a sign of a more severe systemic inflammation. In this study, a 3.5 year old boy who admitted with high fever was presented. As he had pyuria and elevated acute phase reactants, antibiotic treatment was started with a pre-diagnosis of acute pyelonephritis. Later, with the persistence of fever, detection of a negative urine culture result and emergence of dermal, mucosal and conjunctival changes, incomplete Kawasaki disease (KD) was diagnosed. In conclusion, it should be remembered that prolonged fever with sterile pyuria can be the initial findings in KD; before the emergence of typical lesions. Key words: Kawasaki disease, sterile pyuria, pediatric age group
Authors and Affiliations
Bahar Büyükkaragöz, Sibğatullah Orak, Gülten Küçükkonyalı, Ali Köksal, Aysun Yılmaz, Osman Özdemir, Nesibe Andıran
Keywords
Related Articles
- EP ID EP127814
- DOI 10.5798/diclemedj.0921.2015.03.0596
- Views 112
- Downloads 0
Kanserli çocuklar ve fiziksel aktivite
Çoğu insan, belirli bir temelde fiziksel aktiviteye katılmaktadır. Fakat kanserli hastalar arasında, günlük rutinde, fiziksel aktiviteye katılım oldukça azdır. Ailevi veya uzman sınırlamalarından dolayı, kanserli hastala...
Van depreminin su-kaynaklı bazı bulaşıcı hastalıklar üzerine etkisi
Amaç: Bu çalışmada; Van depremi öncesi ve sonrası dönemlerde pediatrik hastalarda, su kaynaklı salgın hastalık oluşturabilen bazı mikroorganizmaların izolasyon sıklığını belirleyerek, bulaşıcı hastalıklar üzerine deprem...
Cardiac arrest secondary to propafenone overdose
Propafenone is a group 1C antiarrhythmic agent. Serious side effects such as cardiac arrest may occur when excessive intake. A sixteen year-old female was admitted to emergency department with nausea, vomiting, and alte...
Birleşik lumbosacral sinir kökleri
Konjenital anatomik anomaliler arasında lumbosakral sinir kökü anomalileri nadir görülen bir gruptur. Literatür incelendiğinde çok farklı lumbosakral sinir kökü anomalilerinin raporlandığı gözlenebilmektedir. Bu anoma...
A rare condition observed in pregnancy: gastric carcinoma; Case report
Gastric cancer is quite rare during pregnancy. Gastrointestinal symptoms consequent to pregnancy such as nausea, vomiting, and abdominal pain make the diagnosis of the disease difficult. At diagnosis, patients present...