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Kawasaki's disease: An unusual presentation.

I Shah1

  • 1Department of Pediatrics, B. J. Wadia Hospital for Children, Parel, Mumbai, India.

Journal of Cardiovascular Disease Research
|August 28, 2012
PubMed
Summary

Kawasaki

Area of Science:

  • Pediatrics
  • Cardiology
  • Infectious Diseases

Background:

  • Kawasaki disease (KD) is a pediatric vasculitis affecting medium-sized arteries.
  • Typical KD diagnosis requires fulfilling specific clinical criteria.
  • Atypical presentations, including shock, are rarely documented.

Observation:

  • A 4-year-old girl presented with anasarca, oliguria, and shock.
  • She developed dilated coronary arteries within 5 days of fever onset.
  • The patient did not meet all classic diagnostic criteria for Kawasaki disease.

Findings:

  • The patient received intravenous immunoglobulin (IVIG) and inotropic support.
  • She showed a positive clinical response to the treatment.
  • This case highlights a rare presentation of Kawasaki disease.
Keywords:
Atypical presentationKawasaki's diseasechildren

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Implications:

  • Early recognition of atypical Kawasaki disease is crucial for prompt management.
  • Shock and cardiac involvement necessitate aggressive treatment strategies.
  • Understanding rare presentations improves diagnostic accuracy and patient outcomes in Kawasaki disease.