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[Kawasaki disease in Pernambuco, Brazil. Considerations on a case seen in a general hospital]
L R Saraiva1, D Brindeiro Filho, G S Barros
1Serviço de Pediatria Clínica (Cardiologia Pediátrica), Hospital Barão de Lucena, Recife, PE.
Insights
The first reported case of Kawasaki disease in Pernambuco, Brazil, involved an 18-month-old with coronary artery dilation. Prompt aspirin treatment led to symptom resolution and lesion regression within seven months.
Area of Science:
- Pediatrics
- Cardiology
- Infectious Diseases
Background:
- Kawasaki disease is a rare but serious condition affecting young children.
- Early diagnosis and treatment are crucial to prevent cardiac complications.
Observation:
- An 18-month-old infant in Pernambuco, Brazil, presented with fever, swollen lymph nodes, and a rash.
- Echocardiography revealed dilation and aneurysm in both right and left coronary arteries.
Findings:
- The patient received high-dose aspirin therapy.
- After a 7-month follow-up, the child remained asymptomatic.
- Coronary artery lesions showed significant regression.
Implications:
- This case highlights the importance of recognizing Kawasaki disease in diverse geographical settings.
- Timely intervention with aspirin can effectively manage coronary artery abnormalities.
- Further surveillance for Kawasaki disease in Brazil is warranted.
Abstract:
The first case of Kawasaki disease in Pernambuco, Brazil, is described. An 18-month-old by presenting with fever, adenomegaly and mucocutaneous rash, had right and left coronary arteries dilation and aneurysm detected on echocardiography. Treated with a high dosage of aspirin, the patient is asymptomatic after a 7-month follow-up, with regression of coronary lesions.