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Published on: April 14, 2011
Influenza infection and Kawasaki disease
Xijing Huang1, Ping Huang1, Li Zhang1
1Heart Center, Guangzhou Women and Children's Medical Center, Guangzhou Medical University, Guangzhou, People's Republic of China.
Insights
Influenza infection may worsen Kawasaki disease (KD) symptoms, leading to higher rates of incomplete KD and longer fevers. Further research is needed to determine if flu causes KD.
Area of Science:
- Pediatrics
- Infectious Diseases
- Rheumatology
Background:
- Kawasaki disease (KD) is a critical pediatric illness.
- The potential association between influenza (Flu) infection and KD requires investigation.
Purpose of the Study:
- To explore the link between concurrent influenza infection and Kawasaki disease.
- To compare clinical characteristics and outcomes of KD patients with and without influenza.
Main Methods:
- Retrospective analysis of 1,053 KD cases and 4,669 influenza cases (2011-2013).
- Matched cohort design comparing KD + Flu group with KD and Flu-only groups.
- Evaluated clinical manifestations, disease course, incomplete KD, IVIG resistance, and echocardiographic findings.
Main Results:
- The KD + Flu group showed a higher incidence of incomplete KD.
- Patients with concurrent influenza experienced longer delays in KD diagnosis and prolonged fever duration.
- Elevated CRP and ESR levels were observed in the KD + Flu group compared to controls.
Conclusions:
- Concurrent influenza infection significantly alters KD clinical presentation and diagnostic markers.
- Influenza impacts KD diagnosis, treatment, and laboratory findings.
- The etiological role of influenza in Kawasaki disease remains undetermined.
Introduction:
The objective of this study was to investigate the possible link between influenza (Flu) infection and Kawasaki disease (KD).
Methods:
We examined the medical records of 1,053 KD cases and 4,669 influenza infection cases hospitalized at our institute from January 1, 2011 to December 31, 2013. Cases of KD with concomitant influenza infection formed the KD + Flu group. Each KD + Flu case was matched with 2 KD cases and 2 influenza infection cases, and these cases were assigned to the KD group and Flu group, respectively. The differences in the principal clinical manifestations, course of disease, incomplete KD rate, intravenous immunoglobulin (IVIG) resistance rate, and echocardiographic detection results between the KD + Flu group and KD group were compared. The fever durations and laboratory test results of these three groups were compared.
Results:
1) The seasonal variations of the KD + Flu group, KD group and Flu group were similar. 2) The morbidity rate of incomplete KD was higher in the KD + Flu group compared with the KD group. 3) Patients in the KD + Flu group exhibited a longer time to KD diagnosis compared with patients in the KD group. 4) The KD + Flu group exhibited the longest fever duration among the three groups. 5) The CRP and ESR values in the KD + Flu group were higher those in the Flu or KD groups.
Conclusions:
Concomitant influenza infection affects the clinical manifestations of KD and can impact the laboratory test results and the diagnosis and treatment of the disease. However, it remains unclear whether influenza contributes to KD etiology.
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