title: Kawasaki syndrome associated with group A streptococcal and Epstein-Barr virus co-infections.
abstract: We present a case of Kawasaki syndrome complicated by coronary aneurysm in a 6-year-old boy with laboratory evidence of group A streptococcal infection and infectious mononucleosis. The case demonstrates that evidence of acute infection in a patient with features suggestive of Kawasaki syndrome should not exclude a diagnosis of the latter. Immunoglobulin therapy should be considered seriously in highly suggestive cases, even if diagnostic criteria are not fulfilled.
mesh_terms: D000208:Acute Disease; D002648:Child; D003323:Coronary Aneurysm / Q000382:microbiology; D006801:Humans; D007244:Infectious Mononucleosis / Q000150:complications*; D008297:Male; D009080:Mucocutaneous Lymph Node Syndrome / Q000382:microbiology*; D013290:Streptococcal Infections / Q000150:complications*; D013297:Streptococcus pyogenes