PEDIATRICS Vol. 64 No. 6 December 1979, pp. 979-980
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Streptococcal Antigenicity in Mucocutaneous Lymph Node Syndrome and Hydropic Gallbladders

Alan M. Krensky MD1, Rita Teele MD1, John Watkins MD1, and Jon Bates MD1

1 Departments of Medicine and Radiology, Children's Hospital Medical Center, Departments of Pediatrics and Radiology, Harvard Medical School, Boston, MA 02115

Two patients with apparent mucocutaneous lymph node syndrome (MLNS) and hydrops of the gallbladder have presented with elevated antistreptolysin O (ASO) titers. Notably, in none of the cases previously reported in the literature, has ASO titer been mentioned. The patient described by Goldsmith1 had a hydropic gallbladder, massively hypertrophied mesenteric lymph nodes and other signs and symptoms of the syndrome with negative throat culture, and a variety of serologic examinations reported, but no ASO titer.