J Korean Pediatr Soc.  2002 Aug;45(8):1048-1051.

Atypical Kawasaki Disease Presented with Toxic Shock Syndrome

• Lee KY
• Park JE
• Park WS

Abstract

Toxic shock syndrome(TSS) is clinically similar to Kawasaki disease(KD) in that both of them are characterized by fever, desquamating rash and mucous membrane erythema. In contrast the main feature of TSS is hypotension, whereas the complication of KD is coronary vasculitis. We report an 8-year-old boy who fulfilled the crireria for TSS and KD. Initially he showed clinical features of TSS, so he was treated with intravenous antibiotics and supportive management. But the fever sustained, and the coronary aneurysm that is the main complication of Kawasaki disease was shown by echocardiogram on Day 14. He was treated with intravenous immunoglobulin twice and the fever subsided and general condition was improved.

Keyword

Toxic shock syndrome; Kawasaki disease

MeSH Terms

Anti-Bacterial Agents
Child
Coronary Aneurysm
Erythema
Exanthema
Fever
Humans
Hypotension
Immunoglobulins
Male
Mucocutaneous Lymph Node Syndrome*
Mucous Membrane
Shock, Septic*
Vasculitis
Anti-Bacterial Agents
Immunoglobulins