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A child with intravenous immunoglobulin–resistant Kawasaki disease who responded to intravenous methyl prednisolone
Author(s) -
Imalke Kankananarachchi,
Pujitha Wickramasinghe,
Meranthi Fernando,
Kaushalya Pussagoda,
Ruwangi Dissanayake,
Ruwan Morawakkorala,
Harendra de Silva De Silva
Publication year - 2019
Publication title -
sri lanka journal of child health
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.153
H-Index - 6
eISSN - 2386-110X
pISSN - 1391-5452
DOI - 10.4038/sljch.v48i3.8767
Subject(s) - medical journal , sri lanka , medicine , publishing , scopus , transparency (behavior) , child health , family medicine , library science , medline , political science , south asia , law , ethnology , computer science , history
Case Report A 5 year old boy presented with 6 days history of fever, irritability, and arthralgia. Physical examination revealed a maculopapular rash, conjunctival injection, strawberry tongue and peripheral oedema. There was no cervical lymphadenopathy or BCG induration. Rest of his examination was unremarkable. Initial laboratory results on admission revealed normal blood counts, elevated inflammatory markers, hypoalbuminaemia and sterile pyuria. Echocardiography done on day 6, showed no coronary artery abnormalities or myocarditis.

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