Clinical Significance of Bacille Calmette-Guerin Inoculation Site Erythema in Incomplete Kawasaki Disease
Bibliographic record
Abstract
Kawasaki disease is an acute systemic vasculitis occurring mainly in infants and children. It is considered a clinical diagnosis, diagnosed by a set of clinical criteria. When the needed criteria to make the diagnosis are not met, a diagnostic dilemma occurs that might contribute to a delay in the diagnosis and treatment, hence increasing the risk of its most feared complication, namely coronary artery aneurysm. This is particularly true in infants, who tend to have the incomplete as well as complicated form of the disease. This is why having additional specific and reliable clinical clues to the diagnosis can be of great value. We present an 8-month-old boy, who presented with a 4-day history of fever and fulfilled three out of the five clinical criteria needed to make the diagnosis of Kawasaki disease; however, due to the presence of Bacille Calmette-Guerin (BCG) inoculation site erythema, the delay in the diagnosis and treatment was avoided. The medical literature lacks sufficient research regarding the usefulness of this sign in Kawasaki disease. This study aims to emphasize on the importance of the erythema around the BCG inoculation site in the diagnosis of the challenging cases of incomplete Kawasaki disease, mainly in infants. Int J Clin Pediatr. 2015;4(2-3):158-161 doi: http://dx.doi.org/10.14740/ijcp211w
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How this classification was reachedexpand
Full frame distilled prediction
Teacher imitationNot calibrated prevalence, not ground truth. Human validation pending. Learned from the 10,348 direct Codex labels and 10,348 direct Gemma labels. Candidate is the union of thresholded teacher heads; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels or direct frontier model labels.
Codex and Gemma teacher scores by category
| Category | Codex | Gemma |
|---|---|---|
| Metaresearch | 0.002 | 0.005 |
| Meta-epidemiology (narrow) | 0.000 | 0.000 |
| Meta-epidemiology (broad) | 0.001 | 0.001 |
| Bibliometrics | 0.000 | 0.000 |
| Science and technology studies | 0.000 | 0.000 |
| Scholarly communication | 0.000 | 0.000 |
| Open science | 0.000 | 0.000 |
| Research integrity | 0.000 | 0.001 |
| Insufficient payload (model declined to judge) | 0.000 | 0.000 |
Machine scores (provisional)
The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.
Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.
score_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from itClassification
machine, unvalidatedMachine predicted; a candidate call from one teacher head, not a consensus.
How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".