Document Detail

Initial characteristics of kawasaki disease with cerebrospinal fluid pleocytosis in febrile infants.
MedLine Citation:
PMID:  22964439     Owner:  NLM     Status:  In-Data-Review    
To distinguish between febrile infants with cerebrospinal fluid pleocytosis who are finally diagnosed with Kawasaki disease and those with enterovirus meningitis poses a diagnostic challenge. We compared clinical and laboratory features at admission between two groups of infants, aged 30-90 days, to identify markers of Kawasaki disease that initially presented as cerebrospinal fluid pleocytosis. During a 2-year period, 100 patients exhibiting cerebrospinal fluid pleocytosis were studied, including six (6.0%) with Kawasaki disease and 30 (30.0%) with enterovirus meningitis. A longer duration of fever before admission (P < 0.01), higher absolute neutrophil count (P < 0.01), increased C-reactive protein level (P < 0.01), pyuria (P = 0.02), and less prominent cerebrospinal fluid pleocytosis (P = 0.01) were identified as initial features of infants finally diagnosed with Kawasaki disease. No significant differences were evident in white blood cell count; platelet count; levels of hemoglobin, alanine aminotransaminase, aspartate aminotransferase, albumin, and sodium; cerebrospinal fluid chemistry; or presence of a rash. Our observations may offer early indicators of Kawasaki disease for timely diagnoses in febrile infants with cerebrospinal fluid pleocytosis.
Jung Sook Yeom; Ji Sook Park; Ji-Hyun Seo; Eun Sil Park; Jae-Young Lim; Chan-Hoo Park; Hyang Ok Woo; Hee-Shang Youn
Related Documents :
24119809 - Short communication: goat colostrum quality: litter size and lactation number effects.
19122769 - Contributions of the mother-infant relationship to dissociative, borderline, and conduc...
2299439 - Married mothers' perceptions of their premature or term infants and the quality of thei...
16966339 - Maternal depression increases infant risk of diarrhoeal illness: --a cohort study.
17112689 - Mothers' perception of newborn individualized developmental care and assessment program...
8848519 - Opiate systems in mother and infant primates coordinate intimate contact during reunion.
20515959 - The 10-year follow-up of a randomised trial of long-chain polyunsaturated fatty acid su...
19094919 - Denmark: botulism in an infant or infant botulism?
25373339 - Male-directed infanticide in spider monkeys (ateles spp.).
Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Pediatric neurology     Volume:  47     ISSN:  1873-5150     ISO Abbreviation:  Pediatr. Neurol.     Publication Date:  2012 Oct 
Date Detail:
Created Date:  2012-09-11     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8508183     Medline TA:  Pediatr Neurol     Country:  United States    
Other Details:
Languages:  eng     Pagination:  259-62     Citation Subset:  IM    
Copyright Information:
Copyright © 2012 Elsevier Inc. All rights reserved.
Department of Pediatrics, Gyeongsang Institute of Health Science, National University School of Medicine, Jinju, Gyeongnam, South Korea.
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

Previous Document:  Antiglutamic Acid Decarboxylase Antibodies in Children With Encephalitis and Status Epilepticus.
Next Document:  Arginase deficiency with new phenotype and a novel mutation: contemporary summary.