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Published on: December 8, 2023
Kawasaki disease shock syndrome: case report
Hui-Fang Yang1, Wei-Liang Chen1, Chia-Ning Chang2
1Departments of Family Medicine & Community Health, Tri-Service General Hospital, National Defense Medical Center, Taipei, Taiwan
Abstract:
Kawasaki disease (KD) is a systemic vasculitis which presents with stable vital signs. Shock rarely occurs in such cases, but it may occur in the acute phase of KD. This report describes a 7-year-old boy with KD shock syndrome (KDSS) who presented with persistent fever, injected conjunctiva, a polymorphic skin rash, echocardiography indicating coronary artery dilatation, and shock. The patient's haemodynamic status markedly improved with immunoglobulin therapy. Early recognition of KDSS can be challenging; however, delay in diagnosis can increase the risk of coronary artery abnormalities and death.
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