Related Experiment Video

Updated: May 6, 2026

Implantation of Total Artificial Heart in Congenital Heart Disease
07:27

Implantation of Total Artificial Heart in Congenital Heart Disease

Published on: July 18, 2014

24.6K

An Infant With Kawasaki Disease: A Case Report and Literature Review

Yifan Ren1

  • 1Department of Paediatrics, Shaoxing Keqiao Women and Children's Hospital, Shaoxing, CHN.

Cureus
|August 26, 2024
PubMed

Insights

Kawasaki disease (KD) can affect even very young infants, leading to serious heart complications. Early diagnosis and treatment with IVIG and aspirin are crucial for preventing coronary artery abnormalities.

Area of Science:

  • Pediatric Cardiology
  • Infectious Diseases

Background:

  • Kawasaki disease (KD) is a primary cause of acquired heart disease in children.
  • Delayed treatment increases the risk of coronary artery (CA) abnormalities, myocardial ischemia, infarction, and mortality.
  • Younger age is a significant risk factor for developing severe CA aneurysms in KD patients.

Observation:

  • A 1.5-month-old infant presented with fever and elevated inflammatory markers, initially unresponsive to ceftriaxone.
  • The infant developed classic KD symptoms including rash, palm/sole induration, BCG site reaction, cracked lips, and conjunctival hyperemia.
  • Diagnosis of complete Kawasaki disease was made based on clinical presentation.

Findings:

  • Intravenous immunoglobulin (IVIG) and aspirin were administered on the third day of fever.
  • Follow-up assessments at 1, 3, 6, and 12 months post-discharge showed normal cardiac findings.
  • The infant showed a complete recovery without coronary artery complications.

Implications:

  • This case highlights that infants under 6 months can present with complete Kawasaki disease.
  • Early recognition and prompt treatment are essential to prevent severe cardiovascular sequelae in young infants.
  • Aggressive management can lead to favorable outcomes, preventing long-term cardiac damage.

Keywords:
case reportcomplete kdcoronary arteryinfantkawasaki disease

More Related Videos

Intracerebroventricular and Intravascular Injection of Viral Particles and Fluorescent Microbeads into the Neonatal Brain05:51

Intracerebroventricular and Intravascular Injection of Viral Particles and Fluorescent Microbeads into the Neonatal Brain

Published on: July 24, 2016

19.4K
Protocol and Guidelines for Point-of-Care Lung Ultrasound in Diagnosing Neonatal Pulmonary Diseases Based on International Expert Consensus06:15

Protocol and Guidelines for Point-of-Care Lung Ultrasound in Diagnosing Neonatal Pulmonary Diseases Based on International Expert Consensus

Published on: March 6, 2019

49.8K

Related Concept Videos

Endocarditis I: Introduction01:25

Endocarditis I: Introduction

Introduction:Endocarditis is the infection of the endocardium, the inner lining of the heart and its valves. When the heart muscle is involved, the condition is termed myocarditis, while an infection of the outer lining is called pericarditis. Infective endocarditis (IE) primarily affects the endocardium, where pathogens adhere to the valves or lining, forming vegetation that can lead to severe complications. Infective endocarditis occurs when microorganisms, usually bacteria from other body...
892
Endocarditis II: Clinical Features of Infective Endocarditis01:25

Endocarditis II: Clinical Features of Infective Endocarditis

Endocarditis can present various clinical features depending on the causative organism and the patient's underlying health conditions. Initially, the clinical features of infective endocarditis develop gradually, presenting with nonspecific symptoms that can be easily mistaken for other illnesses.General SymptomsEarly symptoms of infective endocarditis are fever, chills, weakness, malaise, fatigue, and weight loss. These symptoms reflect the systemic nature of the infection and the body's...
950
Rheumatic Heart Disease I: Introduction01:23

Rheumatic Heart Disease I: Introduction

Rheumatic heart disease or RHD is a chronic condition that results from rheumatic fever, causing permanent damage to the heart valves.Etiology and Risk FactorsIt primarily arises from rheumatic fever, an inflammatory disease that can develop after untreated or inadequately treated group A streptococcal (GAS) pharyngitis. Streptococcus spreads through direct contact with oral or respiratory secretions. While the bacteria are the causative agents, factors like malnutrition, overcrowding, poor...
1.0K
Rheumatic Heart Disease II: Clinical Manifestations and Diagnostic Studies01:22

Rheumatic Heart Disease II: Clinical Manifestations and Diagnostic Studies

The key clinical manifestations of Rheumatic heart disease (RHD) include several distinct cardiac symptoms.Carditis, a hallmark of acute rheumatic fever, involves inflammation of the heart's endocardium, myocardium, and pericardium. Chronic RHD often results from recurrent episodes of carditis. Its symptoms include the following:Murmurs are caused by valvular damage, especially to the mitral and aortic valves. Mitral stenosis or regurgitation is common, with characteristic heart murmurs...
1.3K
Rheumatic Heart Disease IV: Nursing Management01:20

Rheumatic Heart Disease IV: Nursing Management

AssessmentA comprehensive assessment is essential in managing a patient with rheumatic heart disease (RHD). Begin with obtaining a detailed medical history, including recent streptococcal infections, a history of rheumatic fever, or previously diagnosed rheumatic heart disease. Assess the patient for symptoms such as fever, chest pain, widespread joint pain (arthralgia), tachycardia, pericardial friction rub, muffled heart sounds, heart murmurs, peripheral edema, subcutaneous nodules, and...
486
Acute Kidney Injury IV: Diagnostic Studies and Prevention01:30

Acute Kidney Injury IV: Diagnostic Studies and Prevention

Accurate diagnosis and effective prevention are critical in managing Acute Kidney Injury (AKI), which is linked to high mortality rates ranging from 10% to 80%. Timely recognition of at-risk patients and careful monitoring can significantly reduce the likelihood of kidney damage.Diagnostic Assessments:The diagnostic process starts with a comprehensive medical history to identify prerenal, intrarenal, and postrenal causes.Prerenal causes, such as dehydration, hypotension, or blood loss, should...
582