A case of incomplete Kawasaki disease – A 2-month-old infant with 1 day of fever who developed multiple arterial aneurysms
Kawasaki disease (KD) is a systemic vasculitis and is the most frequent pediatric acquired heart disease in developed countries. The diagnosis of KD is typically made by the ≧ 5 of 6 principal signs. However, approximately 20% of KD patients present with less than 5 of these diagnostic signs but may...
| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
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Wolters Kluwer Medknow Publications
2022-01-01
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| Series: | Annals of Pediatric Cardiology |
| Subjects: | |
| Online Access: | http://www.annalspc.com/article.asp?issn=0974-2069;year=2022;volume=15;issue=5;spage=536;epage=538;aulast=Tsuda |
| _version_ | 1827945108722417664 |
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| author | Keitaro Tsuda Kouki Kiyomatsu Yozo Teramachi Kenji Suda |
| author_facet | Keitaro Tsuda Kouki Kiyomatsu Yozo Teramachi Kenji Suda |
| author_sort | Keitaro Tsuda |
| collection | DOAJ |
| description | Kawasaki disease (KD) is a systemic vasculitis and is the most frequent pediatric acquired heart disease in developed countries. The diagnosis of KD is typically made by the ≧ 5 of 6 principal signs. However, approximately 20% of KD patients present with less than 5 of these diagnostic signs but may be suffering from coronary artery aneurysms and have been diagnosed with incomplete KD. In this case report, we describe a 2-month-old infant who showed just fever without any other signs of KD but was suffered from multiple arterial aneurysms, including coronary, pulmonary, and carotid arteries. Because she did not respond to intravenous immunoglobulin infusion, we placed her on plasma exchange that has successfully brought defervescence without any significant complications. This case may represent the end spectrum of incomplete KD in very young infants. |
| first_indexed | 2024-03-13T10:40:03Z |
| format | Article |
| id | doaj.art-6631ed47dbbf4b23a02f312b42025894 |
| institution | Directory Open Access Journal |
| issn | 0974-2069 |
| language | English |
| last_indexed | 2024-03-13T10:40:03Z |
| publishDate | 2022-01-01 |
| publisher | Wolters Kluwer Medknow Publications |
| record_format | Article |
| series | Annals of Pediatric Cardiology |
| spelling | doaj.art-6631ed47dbbf4b23a02f312b420258942023-05-18T04:57:14ZengWolters Kluwer Medknow PublicationsAnnals of Pediatric Cardiology0974-20692022-01-0115553653810.4103/apc.apc_39_22A case of incomplete Kawasaki disease – A 2-month-old infant with 1 day of fever who developed multiple arterial aneurysmsKeitaro TsudaKouki KiyomatsuYozo TeramachiKenji SudaKawasaki disease (KD) is a systemic vasculitis and is the most frequent pediatric acquired heart disease in developed countries. The diagnosis of KD is typically made by the ≧ 5 of 6 principal signs. However, approximately 20% of KD patients present with less than 5 of these diagnostic signs but may be suffering from coronary artery aneurysms and have been diagnosed with incomplete KD. In this case report, we describe a 2-month-old infant who showed just fever without any other signs of KD but was suffered from multiple arterial aneurysms, including coronary, pulmonary, and carotid arteries. Because she did not respond to intravenous immunoglobulin infusion, we placed her on plasma exchange that has successfully brought defervescence without any significant complications. This case may represent the end spectrum of incomplete KD in very young infants.http://www.annalspc.com/article.asp?issn=0974-2069;year=2022;volume=15;issue=5;spage=536;epage=538;aulast=Tsudacoronary aneurysmincompletekawasaki diseaseplasma exchangevasculitis |
| spellingShingle | Keitaro Tsuda Kouki Kiyomatsu Yozo Teramachi Kenji Suda A case of incomplete Kawasaki disease – A 2-month-old infant with 1 day of fever who developed multiple arterial aneurysms Annals of Pediatric Cardiology coronary aneurysm incomplete kawasaki disease plasma exchange vasculitis |
| title | A case of incomplete Kawasaki disease – A 2-month-old infant with 1 day of fever who developed multiple arterial aneurysms |
| title_full | A case of incomplete Kawasaki disease – A 2-month-old infant with 1 day of fever who developed multiple arterial aneurysms |
| title_fullStr | A case of incomplete Kawasaki disease – A 2-month-old infant with 1 day of fever who developed multiple arterial aneurysms |
| title_full_unstemmed | A case of incomplete Kawasaki disease – A 2-month-old infant with 1 day of fever who developed multiple arterial aneurysms |
| title_short | A case of incomplete Kawasaki disease – A 2-month-old infant with 1 day of fever who developed multiple arterial aneurysms |
| title_sort | case of incomplete kawasaki disease a 2 month old infant with 1 day of fever who developed multiple arterial aneurysms |
| topic | coronary aneurysm incomplete kawasaki disease plasma exchange vasculitis |
| url | http://www.annalspc.com/article.asp?issn=0974-2069;year=2022;volume=15;issue=5;spage=536;epage=538;aulast=Tsuda |
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