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PRO736804001074591154
PRAXI911804001074692148201221
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Pediatr.1255804001074587137156196223250262
praxi.1537804001075077118158177193
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SDĚLENÍ341200012656130188244301376409
Z772200012659
PRAXE853200012660123195263321
Klikatá3413600106336583118160188225
cesta5823600106326498131167
k765360010633
nečekané81436001063971106138174216257288
diagnóze11183600106385595133174215246278
Klikatá3409200298147214278406532617744
cesta11329200298109232335422549
k17299200298130
nečekané190892002981402653734976277538911016
diagnóze29739200298143207332470609746856981
MUDr.3401320013793168245287310
Markéta6721320013793152194253310351409
Ručková1,11041320013765129179239301357415151213300803615461320013729
MUDr.15971320013793168245287310
Petra19291320013764121162204262
Matalová,22131320013793152192250280344401459488
Ph.D.2272313200137641281562352612986133008036
1Dětské3401480078333711480013373128165209260313
lékařství,707148001332681133186221265302357383405
Městská11351480013389143186223267318371
nemocnice15301480013361116207268317378402451505
Ostrava20581480013376119156191244295347
a24291480013353
Klinika2505148001336087111172197247301
dětského28291480013362117154198248302363423
lékařství,3275148001332681132186221265302357383405
Fakultní37031480013354102153214239275335360
nemocnice40861480013361116208268318378403452505
Ostrava,46141480013376119156191244295348371
Lékařská3401630013352106158211246290341395
fakulta,758163001333286136197222258311334
Ostravská11151630013376119156191244295338388442
univerzita15801630013361121146199253288337362398451
2Ústav3401780078333731780013371113150203254
farmakologie650178001333285121212265316374400460522547602
LF12761780013351104
UP14031780013372130
a15561780013353
FN16321780013354124
Olomouc17791780013376103163254315375424
Čtyřletý340229001215786134166188237269317
chlapec673229001214497119166220270314
s10022290012139
dosud10572290012156109147199254
bezvýznamnou13272290012156105147196245288342388469523576629
anamnézou19722290012148101147228282330372425478
byl24662290012156101124
přijat2606229001215687109131178209
pro2830229001215688141
krční2986229001214679122175197
lymfadenopatii3198229001212469151179226281329383436492539570592613
a3402430012148
febrilie.404243001212978134165188210232281300
Od7212430012168124
3.861243001215170
dne9472430012156110159
hospitalizace11232430012155108147202224256304326348390438482530
výsev1669243001214897135185231
drobnopapulozního1916243001215687141197251305361408463518540594634689711767820
exantému2753243001214995142196228276358411
a31802430012148
bolesti32442430012157111134183222254276
břicha,3537243001215688110154207254274
pro340257001215688141
které498257001214681129160209
byla7232570012156102125171
nutná9112570012155108140194241
laparoskopická1168257001212370125173204257295340393449471515560608
revize,1792257001213281127150192240259
nález20672570012155102124173216
flegmonózní2299257001212954103158240294348402443497519
apendicitidy,28342570012148103153207262285328350382404459505520
provedena3371257001215688141187235291340394441
apendektomie.3402710012148103153208263313359394446529551600619
Pro976271001215383137
suspektní1129271001214093131186236282317371394
toxoalergický1539271001213386130183230253302334388411454500549
exantém2104271001215096144198229277359
byla24802710012156102125172
opakovaně26682710012155111159204257303350404454
měněna31382710012183132187236290337
antibiotická34922710012147102133155211233287340285001213356100146194
léčba.551285001212474119175223244
I8122850012123
přes852285001215790139178
širokospektrá104728500121396294148194248286342393440475507555
antibiotika16192850012148103135157213236291323346392440
stále2076285001214073122144194
stoupaly2287285001214073127181238286309356
zánětlivé2660285001214292146196229252274322370
markery,30472850012184131163210258291340356
transaminázy,34202850012133651131682062543373603402990012155102145194209
lymfadenopatie566299001212370153181229285334389443499547579601651
výrazněji1233299001214898130178221275325348370
neregredovala,16202990012155105137185241273322378432479526549596616
exantém2253299001215096144198229278360
a26302990012148
febrilie2694299001212979135167190212235284
přetrvávaly,2995299001215688137170201252299345392415462477
objevila34892990012154110133183229253275322
se340313001214090
konjunktivitida,4583130012147101157180235290337373396444468501524580628649
rozpraskané1135313001213388129186219268307353403458508
rty,1671313001213369119135
artralgie.1833313001214981117149198221278301351371
Diferenciálně2231313001216891120171203253309354377425448503553
diagnosticky2812313001215780128184239295334368390435482532
zvažována3372313001214394142185240287336391439
EB3403270012149102
viróza,461327001214871103157198248268
parainfekční7483270012157105137185208262291340387430485507
exantém,1274327001215097145199231280363383
vysloveno1676327001214898137160215261310365420
podezření21143270012157113169219262294343398421
na25543270012155103
Kawasakiho26753270012154103175223262310356380435490
syndrom.3183327001214088143199231285369389
I35913270012124
přes3634327001215689138177
negativní3403410012155105162209241264312367390
nález7473410012156103126176219
při983341001215789112
kardiologickém1112341001214796128184206261284339395418462508556639
vyšetření1769341001214898137187220251301356378
zahájena2165341001214292146194217267322370
standardní2552341001213973121176232279311367422444
terapie3014341001213381114162218241291
Kawasakiho33223410012154103175223261310356380435490
syndromu340355001213987142197229282365419
–7753550012150
jednou841355001212474130184238293
dávkou11503550012156103149195248302
imunoglobulinu14693550012123105159213267323345399455510532555609662
(IVIG)2148355001212850105129193219
a23843550012148
kyselinou2448355001214796135184207229284338392
acetylsalicylovou2857355001214791139172221244282330352375418467490544591643698
(ASA).3571355001212988137196222240
Po3403690012153106
podání4633690012157112169216271293
IVIG773369001212480104168
promptně958369001215790144227283316370420
poklesly13953690012157112159184233272295342
teploty,1754369001213382138162216249298313
regredoval2084369001213382139171220277331378426449
exantém,2550369001215096144199231279362383
lymfadenopatie,2950369001212370154182231287337392446503551583605655675
normalizoval364236900121551101423403830012183131154176219273319367390
se751383001213989
laboratorní860383001212471128183216264296349381437459
nález.13403830012155103126175218240
Uzavíráme16003830012165106155201225257305387437
jako2058383001212471118171
Kawasakiho22493830012154103175223261310356380435489
syndrom.2759383001213987143199231285368389
Klíčová340399001246190118163220272325
slova:686399001244371129181234260
febrilie,967400001212979137169193216239290309
lymfadenopatie,1298400001212371155184233289340395451508556589612662682
exantém,2001400001215098146201233283366387
Kawasakiho24094000012155104176225264313359384439494
syndrom,2925400001213987144200233287371392
IVIG.3338400001212480105170192
A3404270012466
complicated4264270012445102189249277305350404440494554
way10004270012476129180
to1200427001243795
an13154270012453112
unexpected14474270012458117170223284337383422475536
diagnosis2003427001246087141199258316360388431
A3404450012160
4-year-old414445001215081126172217247272327348402
boy8304450012155108152
with995445001217394124176
a11854450012147
previously1246445001215686133178199251303340361405
unremarkable16654450012154106136183263308338382429482504551
medical22304450012182129184204246292313
history2557445001215475111142193223271
was28414450012173118154
admitted30094450012147101181201232265311365
for3388445001212880111
cervical3512445001214490121169190232278299
lymphadenopathy340459001212470152207262308363412466520576623654708752
and11074590012148102157
fever.1280459001212978124172203218
From1514459001214877130212
the1742459001213386135
3rd18934590012151194245900711952
day20104590012156103147
of2173459001215582
hospitalization22714590012155109147202224256303325346388436467488542596
a28834590012148
small-papulous29474590012139121167189211241298345400454476530584621
exanthema3584459001215096143196340473001213386134215261
and6164730012147100155
abdominal7854730012148102158211292313366412434
pain12334730012156103124177
for1424473001212982113
which15514730012173127148191243
laparoscopic1809473001212369123170201253290333385440461504
revision2327473001213380126148184205258312
was26534730012173119156
necessary,28234730012155104147194232269316346394408
phlegmonous32464730012156110131180234315368422474528565
appendicitis3404870012148103159209263318340383404436457495
was8564870012174121159
found,1036487001213083137191246265
and13234870012148102157
appendectomy15024870012148103159209263318367411445497579623
was21474870012174121158
performed.23274870012157107138169222254336385441460
Antibiotic28094870012161115146167223245298330351394
treatment3225487001213364113159190272321375406
was36534870012173120158
repeatedly340501001213382138189236267316372395441
changed8075010012145100147201257306363
for1195501001213084116
suspected1337501001214093132187238282317365422
toxoallergic1785501001213386131184231254276325357412434478
exanthema.2289501001215097144199230285334417465485
Despite27995010012168118156212235267315
broad-spectrum3140501001215890143191247278317372423468502534588671
antibiotics,3405150012148102133154209232285316338381420440
inflammatory801515001212377104129176257339386417469501550
markers,13725150012183130161206254285324344
transaminases1737515001213364111165202249331353406453491539577
continued2336515001214497151182203257310359415
to2772515001213386
rise,287951500121325492141159
lymphadenopathy3059515001212470153208262309364413467520576623654708752
did340529001215678133
not4955290012156109140
significantly657529001214061116170191219244287334388419440486
regress,1165529001213381137168216254292311
exanthema,1498529001215096143197227281330412459478
febrile1998529001212978134165187209258
persisted,22785290012157106138177198235268315371390
conjunctivitis,2690529001214597152173227280324358379426448480502539558
chapped3270529001214599145200256306361
lips,3653529001212446101139158
arthralgia340543001214879114167198245267322343390
appeared.7495430012148103159209255286334390410
Differential1178543001216689117148196228276330361383429451
diagnostic1648543001215778124179233287324357378421
consideration2089543001214597151188210265313345392423444498552
was26605430012174121158
given2838543001215677124172226
to3083543001213386
EB31885430012149101
virosis,3309543001214870101154192213250270
parainfectious35985430012157105135182340557001212377105153197231253306360398
exanthema,753557001215096143197227281330412459478
Kawasaki12475570012154102173220257305350373
syndrome1636557001214086141196227280362411
was20635570012174121158
suspected.2237557001213992130185234279312360416435
Despite26885570012167116154209231263311
of3014557001215583
negative31125570012156105160207238259306354
findings3481557001213054108163185239293330
on3405710012155109
cardiological468571001214592123178199253275329384406449496518
examination1005571001215096143224246300346377399452507
the1531571001213386135
treatment1685571001213364113159190272321375406
with2110571001217496127181
one23105710012155109158
dose24875710012157110148197
of2703571001215582
intravenous2804571001212478108139186231279333387441478
immunoglobulins330157100121241051872402943484034254783405850012157111133154208245
(IVIG)600585001212950104128191217
and8325850012148101157
acetylsalicylic1004585001214891139170219241279326348370413461483505548
acid1567585001214892113168
(ASA)1750585001212887136194220
was19855850012174121158
administered.21585850012148103185207260282319352399431479535554
After2727585001216188123171202
administration29445850012148103185207260282319352383430461482535590
of3549585001215582
IVIG3646585001212479102165
followed340599001212983105127180252300356
prompt717599001215789142224279311
decrease10495990012157105150181229275313362
in1432599001212478
temperature,1531599001213381163218268299346377431462510529
regression2081599001213381136167216254291313366420
of2523599001215583
exanthema,2627599001215096143196227281330412459478
nodal31275990012155109165211233
syndrome,3382599001213986141196227280362411429
normalization3406130012155109140223269291313354402433455508563
of921613001215582
laboratory1021613001212470126180212259290342374422
findings.1462613001212953107162184238292330349
We18306130012184131
concluded1979613001214597151194216269324373429
as2426613001214886
Kawasaki25306130012154102173220257305350373
syndrome.2922613001213986141196227280362411430
Key3406290012460109158
words:5116290012474128164222263287
fever,811630001212976121167198212
lymphadenopathy,1037630001212368148202255301354402455507561607637690733747
Kawasaki17976300012153100169215252298342364
syndrome,2175630001213984138192222273354402419
intravenous2608630001212375105136181225272325377429466
immunoglobulins.30876300012123103183235287340393415467521574595616668705724
Úvod3406750014780142208279
Kazuistika480692001094995134185207242274295338383
popisuje8896920010952103156178214263286332
chlapce1247692001094091113157209251296
z15696920010939
1.1634692001094662
fyziologické1721692001092774115137187210260340706001095071111153197
termínové553706001092973103178199249298341385
gravidity953706001095080123165187237258288333
(porodní1302706001092576126156205256306326
hmotnost16447060010950124174204253303338368
33407200010947
600400720001094796146
g,559720001095272
délka658720001095299122166212
51897720001094892
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s11727200010937
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anamnézou.888734001094496142220272320361413465485
Doposud14017340010962114168221258310363
nebyl1792734001095199153197220
sledován340748001093657103155205247291341
v7037480010943
odborné7687480010949101153203233284330
ambulanci,11197480010944119170221242286336377398416
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byl1897748001095193116
dle340762001095071115
kalendáře.470762001094286106151200251293322366383
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nestonal,1147762001095094129159207257299320338
815007620010946
měsíců15617620010974118153174213262
před1838762001095079123174
přijetím340776001095181103124170200221297
podstoupil6567760010951102154189220269319370392413
adenotomii.1089776001094394140190240270319395416437456
K22806780010949
hospitalizaci23546780010950100136187209239284305326365411451472
byl2852678001095193116
odeslán29936780010949101147183205248298
z33176780010938
ORL33816780010962111155
ambulance356167800109441191702212140692001092165115156200
pro2359692001095181131
krční2508692001094374114164185
lymfadenitidu.2712692001092164140167211262308358380410431482532551
Tři328269200109447597
týdny3397692001093075126176217
před3633692001095181126178
přijetím2140706001095079100121165194214288
prodělal2443706001095079127178222243285306
katar2764706001094184113156185
horních2963706001094998127176196236284
cest3262706001094083118148
dýchacích,3424706001095092131179222261281320369387
který2140720001094376121152198
byl2364720001095295118
zvládnut2508720001093986108152205256306337
symptomatickou2871720001093680158210241290367412442463505548597648
terapií,3545720001093076106151203225247266
poté21407340010951102132177
se2334734001093581
objevila24327340010950102123169212234255299
krční2748734001094273114163185
lymfadenitida,2950734001092164140167211262308359380410431482526545
jež3512734001092268107
neustoupila36367340010950961462140748001093565113162212233254296
ani2451748001094392112
po25787480010951100
10denní2694748001094586138182232281301
kúře3010748001094291119163
cefprozilem.3188748001094084110161190239276296317362436454
Den36577480010960105154
před2140762001095283129182
přijetím2348762001095283105128174206227304
se2679762001093683
u27887620010951
chlapce2865762001094192114159211254299
objevily31917620010950103125172216239261305
febrilie,3522762001092774127158180202224270289
polykací21407760010951102124167210255295316
obtíže24767760010949101131152191236
a27317760010944
bolesti27947760010951102124170205236257
břicha.3070776001095282103144194237257
DECLARATIONS:4068231008648871301662142563043393604124625014570231008514
Declaration406824500874987120141179206244271291333375
of445724500874066
originality:45372450087406888130150192230251271298337356
The406825600853473109
manuscript418825600855891130168195227249266306329
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been516125600853975110149
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or406826700853862
submitted414526700852867108167184208234269310
elsewhere.44702670085355381117169209245269305320
Ethical406828100873764107127160198218
principles43002810087427090132165185228249287319
compliance:463328100873173134177197218256298330368387
The406829200853678116
authors420529200853475100142183208238
attest44642920085356087124153179
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Committee464830300854179139198215239265300337
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