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首页> 外文期刊>Annals of Indian Academy of Neurology >Kawasaki Disease Complicated with Cerebral Vasculitis and Severe Encephalitis
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Kawasaki Disease Complicated with Cerebral Vasculitis and Severe Encephalitis

机译：川崎病复杂脑血管炎和严重的脑炎

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We report a case of a 7-year-old boy with Kawasaki disease (KD) complicated with cerebral vasculitis and encephalitis. The patient was admitted with signs of encephalopathy, seizures, and coma. The diagnosis of KD was made on the 2 nd day of hospitalization based on the clinical features (fever 5 days, maculopapular rash, nonpurulent conjunctivitis, fissured lips, and cervical adenopathy). Brain magnetic resonance imaging findings suggested cerebral vasculitis. Treatment with intravenous immunoglobulin was followed by mild improvement. After a single dose of immunoglobulin, pulse methylprednisolone therapy was started resulting in gradual improvement of consciousness and eventual complete motor and cognitive function recovery with regression of brain magnetic resonance lesions. KD can present with marked neurological symptomatology. Therefore, it should be considered in the differential diagnosis of encephalitis and encephalopathy etiologies in children.
机译：我们举报了一个7岁男孩，川崎病（KD）复杂脑血管炎和脑炎。患者患有脑病，癫痫发作和昏迷的迹象。基于临床特征（发烧> 5天，Marupopular Rash，非柔韧性结膜炎，裂缝嘴唇和宫颈腺肿，对KD的诊断是在2 ND住院时间进行的。脑磁共振成像结果表明脑血管炎。用静脉内免疫球蛋白处理，然后轻度改善。在单一剂量免疫球蛋白之后，开始脉冲甲基己酮酮治疗，导致意识的逐渐改善，最终的完整电动机和认知功能回收，随着脑磁共振病变的回归。 KD可以呈现出显着的神经系统症状学。因此，应该考虑在儿童脑炎和脑病病因的鉴别诊断中。

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