Adult Kawasaki disease

Kawasaki disease was first described from Japan in 1967. Most of the patients reported have been under 3 years of age. We are reporting a typical case of Kawasaki disease in an adult Yemeni male, who had all criteria for diagnosis. Additionally our patient had tricuspid regurgitation as well as tricuspid valve endocarditis, which is only rarely reported in literature. We also noted a rise in monocyte and eosinophil count up to 10%, which may have pathophysiologic significance in this disease. At two year follow up our patient had persistent right bundle branch black which he had developed during the course of his illness. Mortality of the disease is related to cardiac complications especially coronary arteritis and aneurysms in children. In adults too once diagnosis is established patients should be followed for a long period of time to look for any possible cardiac complications.