Outbreak of Kawasaki syndrome in Finland

Insights

Kawasaki syndrome, a rare illness, was diagnosed in 83 Finnish children, indicating potential geographic spread. The outbreak highlighted cardiac and neurological complications, with one fatality from a coronary aneurysm.

Area of Science:

  • Pediatrics
  • Epidemiology
  • Infectious Diseases

Background:

  • Kawasaki syndrome is a rare pediatric illness primarily affecting children under five.
  • Historically, outbreaks have been reported in East Asian countries and the USA.
  • This study documents the first reported outbreak in Finland.

Purpose of the Study:

  • To report the first outbreak of Kawasaki syndrome in Finland.
  • To describe the epidemiology and clinical manifestations of the diagnosed cases.
  • To investigate the attack rate and potential geographic spread of the illness.

Main Methods:

  • Retrospective analysis of 83 diagnosed Kawasaki syndrome cases over a ten-month period (June 1981-March 1982).
  • Calculation of attack rates per 100,000 children under five.
  • Clinical and electrocardiogram (ECG) data review for complications.

Main Results:

  • An attack rate of 26/100,000 children under five was observed.
  • The outbreak's progression suggested geographic spreading.
  • Carditis was evident in 20% of patients, with ECG abnormalities in 59%.
  • Neurologic manifestations occurred in 10% of patients.
  • One patient died due to a ruptured coronary aneurysm.

Conclusions:

  • This Finnish outbreak represents the first documented occurrence outside of Japan, Korea, and the USA.
  • Kawasaki syndrome can affect populations in new geographic regions.
  • The findings underscore the importance of recognizing and managing potential cardiac and neurological sequelae.

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