Fiebre en el paciente pediátricola importancia de la exploración física repetida

  1. Isabel Miras Aguilar 1
  2. Pilar Sevilla Ramos 1
  3. Gema Arriola Pereda 1
  4. Alfonso Ortigado Matamala 1
  1. 1 Hospital Universitario de Guadalajara
    info
    Hospital Universitario de Guadalajara

    Guadalajara, España

    ROR https://ror.org/00jkz9152

    Geographic location of the organization Hospital Universitario de Guadalajara
Journal:
Revista Clínica de Medicina de Familia

ISSN: 2386-8201

Year of publication: 2020

Volume: 13

Issue: 2

Pages: 153-156

Type: Article

More publications in: Revista Clínica de Medicina de Familia

Abstract

Clinical pictures consisting of fever and systemic inflammation with mucocutaneous involvement can be caused by multiple aetiologies. Prognosis, in some cases, depends on diagnosis and on early treatment. We present the clinical case of a boy seen in the emergency department with fever, and abdominal and cervical pain. In this case, findings of leucocytosis, neutrophilia, increased acute phase reactants and transaminases initially lead to gastrointestinal disease. However, continued physical examination and high degree of suspicion enabled to make the correct diagnosis of Kawasaki disease using echocardiogram within the first five days of the disease. The treatment was intravenous gamma globulin, with a favourable evolution and complete recovery four months after diagnosis.