Related Experiment Videos
Concomitant dengue hemorrhagic fever with Kawasaki disease
S Sopontammarak1, P Pruekprasert
1Department of Pediatrics, Faculty of Medicine, Prince of Songkla University, Songkhla, Thailand. ssomkeat@ratree.psu.ac.th
Insights
This case report details a rare instance of concurrent dengue hemorrhagic fever and Kawasaki disease. The study highlights unusual symptoms including persistent fever, gallbladder issues, and coronary artery problems.
Area of Science:
- Pediatrics
- Infectious Diseases
- Cardiology
Background:
- Dengue hemorrhagic fever (DHF) and Kawasaki disease (KD) are distinct febrile illnesses.
- Concomitant occurrence of DHF and KD is exceptionally rare in medical literature.
Observation:
- A pediatric patient presented with persistent fever, a hallmark of both DHF and KD.
- Diagnostic imaging revealed coronary artery involvement, a critical feature of KD.
- The patient also exhibited hydrops of the gallbladder, an atypical finding.
Findings:
- This unique case report documents the simultaneous presentation of DHF and KD.
- The clinical course was marked by persistent fever unresponsive to initial treatments.
- Echocardiographic findings confirmed significant coronary artery abnormalities consistent with KD.
Implications:
- This report expands the understanding of potential co-infections and their clinical presentations.
- It underscores the importance of considering multiple diagnoses in complex febrile cases.
- Further research may elucidate shared or interactingPathogenic mechanisms between DHF and KD.
Abstract:
This is an unique case report of concomitant dengue hemorrhagic fever and Kawasaki disease, not reported previously. The unusual clinical course of persistent fever, coronary artery involvement evidenced from 2-D echocardiogram, and hydrops of the gallbladder is discussed.