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[Kawasaki disease in a young infant: difficulties for diagnosis and early complications]
M Saint-Faust1, P Benoit, F Bourlon
1Service de pédiatrie, fondation Lenval, 57, avenue de la Californie, 06200 Nice, France. mariestfaust@hotmail.com
Unlabelled:
We report 1 case of Kawasaki disease in young infant, featuring atypical presentation and severe outcome.
Case Report:
A 3-month-old patient was admitted with initial cervical lymphadenitis, and lasting fever. He subsequently developed the classical manifestations of Kawasaki disease. Treatment with intravenous gamma globulins was successful only after a second perfusion. The early echocardiography revealed a coronary vasculitis, which progressed rapidly and was followed by complications as right coronary thrombosis, several aneurysms, and some others as exsudative enteropathy, aseptic meningitis and hepatitis.
Conclusion:
Patients less than 6 months with Kawasaki disease are at increased risk of atypical presentation, severe prognosis and are often predicted to be non-responsive to the first administration of IVIG.
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