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

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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.

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