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Enfermedad de Kawasaki incompleta que se presenta principalmente con tos: un informe de caso y una breve revisión de
Jiao Feng1, Qiang Chen2, Miao Yu1
1Department of Pediatric, Baoding No. 1 Central Hospital, Great Wall North Street No.320, Baoding, Hebei, 071000, China.
BMC pediatrics
|August 20, 2025
Resumen
La tos severa como síntoma inicial en la enfermedad de Kawasaki (KD) es rara. La evaluación cardíaca inmediata es crucial para diagnosticar la enfermedad cardíaca incompleta (IKD) y prevenir las complicaciones.
Área de la Ciencia:
- Pediatría
- Cardiología
- Enfermedades infecciosas
Sus antecedentes:
- La enfermedad de Kawasaki (KD) es una vasculitis infantil crítica que requiere un diagnóstico precoz para prevenir aneurismas cardíacos.
- Los síntomas clásicos de KD se superponen con las infecciones, lo que complica el reconocimiento temprano.
- El retraso en el diagnóstico y el tratamiento de KD puede conducir a complicaciones cardiovasculares graves.
Objetivo del estudio:
- Para resaltar la presentación atípica de la enfermedad de Kawasaki incompleta (IKD) con tos severa como síntoma principal.
- Hacer hincapié en la importancia de considerar la IKD en niños con síntomas persistentes que no responden a los antibióticos.
- Para subrayar la necesidad de una evaluación cardíaca rápida en casos sospechosos de IKD.
Principales métodos:
- Un informe de caso de un niño de 3 años que presenta tos y fiebre severas.
- El diagnóstico incluyó pruebas de laboratorio (ESR, CRP) y ecografía cardíaca.
- El tratamiento incluyó inmunoglobulina intravenosa (IVIG) y aspirina.
Principales resultados:
- El paciente inicialmente presentó tos y fiebre severas, imitando una enfermedad respiratoria.
- Los hallazgos de laboratorio mostraron elevados ESR y CRP, sin mejoría con antibióticos.
- El tratamiento con IVIG y aspirina condujo a una rápida resolución de los síntomas y a hallazgos cardíacos normales.
Conclusiones:
- Pueden ocurrir presentaciones atípicas de KD, como tos predominante, que conducen a la enfermedad de Kawasaki incompleta (IKD).
- Un alto índice de sospecha de IKD es necesario cuando los síntomas clásicos están ausentes y el tratamiento con antibióticos falla.
- La evaluación temprana de la arteria coronaria es vital para el diagnóstico y el tratamiento oportunos de la IKD para prevenir secuelas cardíacas a largo plazo.
Palabras clave:
Informe sobre el casoLa tosEl diagnósticoEnfermedad de Kawasaki incompletaLa enfermedad de KawasakiMás Videos Relacionados
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