Sunday, October 25, 2009

Kawasaki disease confused with coxsackie virus? Is it possible?

I brought my 14 month old son to the drs on friday because I thought he had chickenpox as the bumps began appearing. She said that they were definetely NOT chickenpox, but possibly coxsackie virus (also called hand-foot-%26 mouth). She wasn't completely sure though. His symptoms going in were: slight fever, bumps on his body (appearing to be bugbites), sores in his mouth at the back of his throat, and no appetite. His symptoms have since changed to: High fever for 2 days (102-104F) consistently except when motrin %26 tylenol are working for the 4 hours, bumps have become hickey (for lack of a better description) like marks all over, swollen tongue and redder than usual lips %26 tongue, still irritable as before, and absolutely NO appetite, and he will not drink fluids. I am trying everything I can to keep fluids in him- trust me I do not want him to become dehydrated!
Back to my original question- Is it possible that she was wrong and this could be kawasaki disease?
Answer:
It is possible since Kawasaki disease is rare and difficult to diagnosis. However, most cases of Kawasaki disease clear on their own, but if treatment is given there is less chance of residual heart problems. If his symptoms are lasting more than four days, I would take him to a med-stop or the emergency room for evaluation. If nothing else, it will give you some peace of mind. Dealing with a sick irritable baby for the last few days must be taking it's toll on you as well. Hang in there. God Bless You!
Kawasaki disease occurs in children under 5 years old. Diagnostic criteria include fever for at least 5 days plus at least 4 out of these 5 signs. 1. Red eyes, without pus discharge. 2. Red throat and oral mucous membrane. 3. Swelling or redness of hands and feet and later, peeling of skin. 4. Rash on the body. 5. Enlarged lymph glands in the neck, usually on one side. Yes, it could be Kawasaki disease.

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