Clinical Features of Kawasaki Disease with Pyuria
Pediatric Infection & Vaccine
;
: 141-145, 2017.
Article
in Korean
| WPRIM
| ID: wpr-22456
ABSTRACT
PURPOSE:
Clinical and laboratory features of two Kawasaki disease (KD) groups were evaluated; the patient with pyuria and those without pyuria.METHODS:
From January 2015 to December 2016, the medical records of 140 (86 males and 54 females) inpatients with KD were retrospectively analyzed.RESULTS:
Forty-eight KD patients (34.3%) presented with pyuria. KD patients with pyuria showed a higher level of C-reactive protein (CRP) and a higher proportion of elevated liver enzymes than those without pyuria. There were no differences in the proportions of unresponsiveness to intravenous immunoglobulin and coronary artery lesions between the two groups. Six KD patients (12.5%) with pyuria underwent a renal imaging study to rule out the possibility of a urinary tract infections. Thirty-two KD patients (66.7%) with pyuria received treatment with antibiotics in addition to the standard treatment for KD.CONCLUSIONS:
KD patients with pyuria showed a higher level of CRP and elevated levels of liver enzymes than those without pyuria. These findings suggest that KD patients with pyuria have more severe systemic inflammation than those without pyuria.
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Pyuria
/
Urinary Tract Infections
/
C-Reactive Protein
/
Immunoglobulins
/
Medical Records
/
Retrospective Studies
/
Coronary Vessels
/
Fever
/
Inflammation
/
Inpatients
Type of study:
Observational study
Limits:
Child
/
Humans
/
Male
Language:
Korean
Journal:
Pediatric Infection & Vaccine
Year:
2017
Type:
Article
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