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Late onset Kawasaki disease with multiple coronary arterial aneurysms: A case report

Ganesh Wagle1, Abhikanta Khatiwada1, Sudip Bastakoti2

  • 1Department of Radiology, Tribhuvan University Teaching Hospital, Kathmandu, Nepal.

Radiology Case Reports
|September 4, 2024
PubMed

Insights

Kawasaki disease, a rare vasculitis in children, can lead to serious heart issues like coronary aneurysms. This case highlights a 10-year-old boy with typical symptoms and multiple coronary artery aneurysms.

Area of Science:

  • Pediatric Rheumatology
  • Cardiovascular Medicine

Background:

  • Kawasaki disease is a primary cause of acquired heart disease in children.
  • It involves systemic vasculitis affecting small to medium arteries, predominantly in those under 4 years old.
  • Coronary artery aneurysms are a significant complication, necessitating vigilant monitoring.

Observation:

  • A rare case of a 10-year-old boy presenting with Kawasaki disease symptoms is detailed.
  • The patient exhibited classic clinical manifestations of the condition.
  • Diagnostic imaging revealed multiple coronary artery aneurysms.

Findings:

  • The case confirms Kawasaki disease can occur in older children.
  • Multiple coronary artery aneurysms were identified in the affected patient.
  • This underscores the potential for severe cardiovascular sequelae in atypical presentations.

Implications:

  • Early diagnosis and management are crucial to prevent coronary artery complications.
  • Regular cardiac monitoring is essential for children diagnosed with Kawasaki disease.
  • This case broadens the understanding of the age spectrum for Kawasaki disease and its cardiac manifestations.

Keywords:
CT coronary angiographyEchocardiographyMucocutaneous lymph node syndromeVasculitis

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