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Giant coronary aneurysm in a 6-week-old infant, an unusual finding?
Jorge Roberto Palacios Argueta1, Judith Sanchez-Manubens2,3, Zuccarino Flavio4,5,6
1Pediatric Medicine Service, Corporacion Sanitaria del Parc Tauli, Sabadell, Universitat Autónoma de Barcelona, Pediatric Cardiology Unit, Barcelona, Spain.
Insights
Kawasaki disease (KD) in infants under 3 months presents diagnostic challenges. Early diagnosis and treatment of KD, even with atypical symptoms, are crucial for preventing severe coronary artery abnormalities.
Area of Science:
- Pediatric Rheumatology
- Pediatric Cardiology
- Vasculitis Research
Background:
- Kawasaki disease (KD) is a critical pediatric vasculitis often leading to severe cardiac complications.
- Diagnosis and management of KD in infants younger than 3 months are particularly challenging due to atypical presentations.
- Coronary artery abnormalities, including aneurysms, are significant risks in young KD patients.
Abstract:
Kawasaki disease (KD) is a self-limited vasculitis with significant morbidity and even mortality if not treated early. The diagnosis and timely treatment in children younger than 3 months is challenging as most of them have an incomplete or atypical presentation. Coronary artery abnormalities are frequent in this type of patients. We present a 6-week-old female infant with KD who developed a giant coronary aneurysm. An early diagnosis and promptly treatment, as well as the echocardiographic and multimodality follow-up allowed us to improve our clinical approach and management.
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