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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.
Abstract:
During a ten-month period from June 1981 to March 1982 83 patients with Kawasaki syndrome were diagnosed in Finland. The attack rate was 26/100 000 children under five years of age, corresponding to an annual attack rate of 31/100 000 children under five years. The course of the outbreak suggested geographic spreading. 20% of the patients had clinical and ECG evidence of carditis, and ECG abnormalities were found in 59% of the patients. One patient died from a ruptured coronary aneurysm. Neurologic manifestations were seen in 10% of the patients. This is the first reported outbreak of Kawasaki syndrome outside Japan, Korea and the United States of America.
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