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(病例见本期彩页)该例患儿发热、颈部淋巴结肿大,伴疼痛及颈部活动受限为主要表现,颈部CT提示咽后壁低密度病灶,考虑为咽后壁软组织感染,予广谱抗生素治疗后仍持续发热,系统性炎性指标明显增高,虽无结膜充血、手足硬肿、冠脉受累等川崎病(KD)表现,仍需考虑不完全KD。依据诊断标准如下:患儿发热≥5 d,且具有2或3项KD临床指标,要进一步评价患儿的临床特征和实验室指标;倘若实验室指标C反应蛋白(CRP)≥30 mg/L和(或)红细胞沉降率(ESR)≥40 mm/h,则须进一步观察其他实验室指标,包括:血浆白蛋白≤30 g/L、贫血、丙氨酸氨基转移酶
(See the current case color pages) This case of children with fever, cervical lymph node enlargement, with pain and neck activity is the main performance, neck CT low-density posterior pharyngeal lesions, consider the posterior pharyngeal soft tissue infections , To continue after a broad-spectrum antibiotics fever, systemic inflammatory index was significantly increased, although no conjunctival hyperemia, hand-foot-sclerosis, coronary artery involvement Kawasaki disease (KD) performance, still need to consider incomplete KD. According to diagnostic criteria are as follows: Children with fever ≥ 5 d, and with 2 or 3 KD clinical indicators, to further evaluate the clinical features and laboratory parameters in children; if the laboratory parameters C-reactive protein (CRP) ≥ 30 mg / L And / or erythrocyte sedimentation rate (ESR) ≥40 mm / h, other laboratory parameters need to be further observed, including: serum albumin ≤30 g / L, anemia, alanine aminotransferase