What happened to the fever more than 2 weeks after the Kawasaki disease was cured?

Kawasaki disease, also known as **mucosal lymphadenopathy syndrome, is an acute febrile illness that tends to occur in children under 5 years of age. The acute phase is mainly manifested by fever, rash, red lips, red eyes, large lymph nodes, etc., in fact, it mainly damages the heart and coronary arteries. Although most children can undergo **, some children have severe coronary artery damage to form coronary artery aneurysms, and after a period of time, some children's coronary arteries can be narrowed or infarcted, resulting in myocardial infarction and sudden death.

Guidance: Kawasaki disease is self-limiting, and most have a good prognosis. **Seen in 1 to 2 children.

Children without coronary artery disease undergo a comprehensive check-up (including physical examination, electrocardiogram and echocardiogram**) at 1, 3, 6 months and 1 2 years after dischargeChildren who do not have an effective **, 15 to 25 coronary artery aneurysms, should be followed up closely for a long time, once every 6 to 12 months. Coronary artery aneurysms usually disappear spontaneously within 2 years of illness, but they often leave functional abnormalities such as thickening of the wall and decreased elasticity.

Large aneurysms often do not disappear completely and often cause thrombosis or lumen stenosis.

Life nursing: This disease should also be regularly re-examined (color ultrasound) after discharge, to observe whether it causes and damages the heart and coronary arteries, the general observation period is one year, and in one year, try not to let the patient have fever again, otherwise the consequences are unimaginable.

Look at the cause of the fever, whether it is caused by Kawasaki disease, seek medical attention as soon as possible, and pay special attention to not having a fever for a period of time after the Kawasaki disease is cured.

If there is still inflammation, continue to take anti-inflammatory drugs.

Intravenous gamma globulin is immediately withdrawnFor children with Kawasaki disease, the use of intravenous gamma globulin can significantly inhibit the inflammatory response and excessive immune response of Kawasaki disease within a few hours or ten hours, and the fever can be reduced with slow touch.

Methods: Daily intravenous infusion of gamma globulin 400mg kg, 2 4 hours infusion, for 4 consecutive days; At the same time, oral aspirin 50 100mg kg Hu Na Sui d was added, divided into 3 4 times, for 4 consecutive days, and then reduced to 5 mg kg d, taken at a time.

Aspirin is withdrawn in 2 daysIn children with Kawasaki disease, if only aspirin is used, the body temperature can be controlled in about 2 days after treatment, and most of the prognosis is good.

Methods: Take the dose of 30 100mg kg per day, divided into 3 4 times. After taking it for 14 days, the fever subsided and decreased to 3 5mg kg per day, once taken at a time, and received an antiplatelet aggregation effect.

You still need to take aspirin after you withdraw your pants and have a feverIn children's Kawasaki disease, there is a follow-up chronic inflammation after acute inflammation control for about seven to nine weeks, although there is no fever during this period, it is still necessary to continue anti-inflammatory**, at this time, aspirin is used to fight inflammation, anticoagulation is relatively safe, which is the remission period**.

In this case, a small dose may be used. The course of treatment should be long, at least 2-3 months. Generally, enteric-coated tablets can be used to reduce the effect of aspirin on the gastrointestinal tract **If coronary artery dilation or hemangioma formation has been detected by echocardiology**, then the drug should be taken until the lesion disappears.

At this time, aspirin can be taken at the same time, and dimidamole (formerly known as dimidamite) and warfarin (anticoagulants) can be added according to the needs of the condition to strengthen antiplatelet aggregation and prevent vascular embolism.

Can children with low-grade fever take fever reducersGenerally, most of the symptoms of the baby after having Kawasaki disease are fever that lasts for more than 5 days, and the appearance of low-grade fever means that the child's condition has not recovered well. This requires a cardiac enzyme examination, etc., to determine whether there are factors of myocardial damage. In addition, the appearance of low-grade fever in the recovery period of Kawasaki disease may be related to upper respiratory tract infection, and it is necessary to check the blood routine and do not take medicine easily.

Problem analysis: Hello, if the baby is diagnosed with Kawasaki disease, this disease can be **, the sooner, the better, the later the key to accompany**, the worse the effect.

Suggestions: Kawasaki disease, also known as pediatric ** mucosal lymph node syndrome, the first main manifestation is persistent fever, but if the symptoms of myocarditis, pericarditis and endocarditis will appear in time, generally often occur about 1-6 weeks after the onset of the disease, so it is necessary to have a better prognosis.

Problem analysis: Hello, non-stop sneezing, runny nose, your symptoms consider an upper respiratory tract infection, i.e. a cold. Colds are generally divided into common cold and epidemic cold, which is a common respiratory illness caused by a variety of viruses, most of which are caused by a certain serotype of nasopharyngeal virus.

Suggestions: Anti-infection, anti-virus, anti-susceptibility sail defense is needed**. It is best to drink some heat-clearing and detoxifying Chinese patent medicines, such as Banlan root powder, etc.

In life, you should drink more boiled water, eat lightly, rest in bed, avoid smoking, and maintain air circulation indoors. Usually pay attention to cold protection and warmth, strengthen the state of wax lack exercise.

Analysis: Kawasaki disease is currently considered to be an immune-mediated vasculitis,** which has not yet been identified. The disease is prevalent and landlordish, and the clinical manifestations include fever and rash, which are speculated to be related to infection.

Recent studies have shown that early intravenous gamma globulin plus oral aspirin** can reduce the incidence of coronary arterioscopic dysplasia in Kawasaki disease. It is important to emphasize that the drug should be taken within 10 days of onset.

Guiding opinions: In the view of traditional Chinese medicine, this disease is mostly blood stasis, that is, qi and blood are not active, and some traditional Chinese medicine to promote blood circulation and eliminate blood stasis can be considered. The prognosis of the vast majority of children is good, and the prognosis is self-limited, and the appropriate ** can gradually recover from the disease.