A Case of Muco-Cutaneous Lymphnode Syndrome Complicated by Acute Infantile Coxitis

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Muco-Cutaneous Lymphnode Syndrome (1967 Kawasaki), usually affects the infants of four years-old and downward, has specific symptoms and signs such as fever unresponsive to antibiotics, injection of bulber conjunctva, hard edema of hand and foot, membranous desquamation of finger tip, injection and dryness of mucous membrane of oral cavity and lip, scarlet tongue, indefinte shaped skin eruption, and so on.This lesion often complicated with serous arthritis, but we can find no case report with pyogenic arthritis.This case admitted complaining of 39°C fever continuing for 9 days. Diagnosis of Muco-Cutaneous Lymphnode Syndrome was done by his characteristic symptoms, signs and laboratory findings. On 15th disease day, transient swelling of right hip joint region occured. Antibiotics and steroid agent improved his condition satisfactorily, but he did not walk. On 26th disease day, X-ray film showed right coxitis. Punction of hip joint proved pyogenic infection, and immediately incision for drainage was performed. Post operative course was satisfactory, and he discharged 3 weeks after operation.This case was reported in detail, and relationship of 2 disease complicated were also discussed.
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