Respiratory syndrome in the practice of the local pediatrician: from a simple clinic to a complex diagnosis. Clinical case

Abstract

The article deals with the clinical case of incomplete Kawasaki syndrome in a child of 8 years. During the first two weeks of observation at an outpatient clinic stage, a child was diagnosed with an acute respiratory viral infection. During hospitalization, differential diagnosis was per-formed with systemic lupus erythematosus and dermatomyositis. Difficulties in diagnosing were the absence of typical clinical symptoms of Kawasaki's disease at the initial stage of the disease. According to epidemiological studies, the incidence of Kawasaki syndrome in Russia is 2.7 per 100,000 children [3]. The disease is often diagnosed in late terms, as a result of which treatment is prescribed untimely and not always adequate [3]. Kawasaki syndrome is one of the causes of acquired cardiovascular diseases in children [3]. Timely diagnosed and adequately prescribed therapy, avoids the development of severe complications.