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Recognition of kawasaki disease

Janelle R Cox, Robert E Sallis

    The Permanente Journal
    |March 5, 2011
    PubMed

    Insights

    Kawasaki disease, a common childhood vasculitis, can lead to acquired heart disease. Early suspicion and diagnosis are crucial for managing this condition, especially when fever is prolonged and unresponsive to antibiotics.

    Area of Science:

    • Pediatric Rheumatology
    • Pediatric Cardiology
    • Infectious Diseases

    Background:

    • Kawasaki disease is a leading cause of acquired heart disease in children in the US.
    • It is a vasculitis that requires high clinical suspicion due to potential cardiac complications.
    • Delayed diagnosis can occur as symptoms present asynchronously.

    Purpose of the Study:

    • To present a case of Kawasaki disease with a delayed diagnosis.
    • To review the diagnostic criteria, differential diagnosis, treatment, and complications of Kawasaki disease.

    Main Methods:

    • Case report presentation.
    • Review of diagnostic criteria for Kawasaki disease.
    • Discussion of differential diagnoses and management strategies.

    Main Results:

    • The case highlights the challenges in diagnosing Kawasaki disease, even after multiple healthcare visits.
    • Delayed diagnosis can occur despite characteristic symptoms if not recognized promptly.
    • Review reinforces the importance of considering Kawasaki disease in children with prolonged fever.

    Conclusions:

    • Kawasaki disease necessitates a high index of suspicion in children with prolonged fever unresponsive to antibiotics.
    • Prompt diagnosis and treatment are essential to prevent serious cardiac sequelae.
    • Comprehensive review aids clinicians in recognizing and managing this condition effectively.

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