 |
|
|
|
|||||||||||||||||||||
|
||||||||||||||||||||||||
 |
||||||||||||||||||||||||
|
|
|
|
|
|
 |
|||||
|
brilliantbaby.com the website that can help you have a happy, smarter child. |
|||||
|
A previously healthy two year old boy was diagnosed to have pneumonia as seen in the chest X-ray. It was a consolidated pneumonia at the left lower and right middle lobe done on the fifth day of fever. The signs and symptoms were cough, fast breathing rate of 60/minute, Oxygen saturation of 94%, and rales at the lungs. His WBC (white blood cells) were high. In spite of antibiotic treatment, his fever persisted. On the eight day, he had severe diarrhea and ascitis (bloated belly from fluid). His ESR was 75 mm/hour (very high), hemoglobin of 8.7 g/l (below the normal of 11), platelet count of 403 thousand (high normal) and 2.7 g/l of albumin (low). On the 11th day, his ECG showed several large coronary aneurysm. He was treated with two courses of intravenous gammaglobulin and steroids. Twenty days later, his chest X-ray returned to normal. Three years lager, he was doing fine but with a giant left coronary artery aneurysm. He was still on aspirin and warfarin. This boy had Kawasaki Disease (KD) Leo Leonidas, MD, FAAP
|
|||||