Acute Adult-Onset Kawasaki Disease Complicated by Coronary Artery Aneurysms, Thrombosis, and ST-Segment Elevation Myocardial Infarction
A 21-year-old man who had an initial misdiagnosis of chest wall cellulitis and sepsis presented to the emergency department with chest pain. Electrocardiogram demonstrated ST-segment elevation in the inferior leads. Cardiac catheterization identified diffuse aneurysmal dilation and thrombosis of the...
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| Format: | Article |
| Language: | English |
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Elsevier
2021-02-01
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| Series: | JACC: Case Reports |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2666084920314327 |
| _version_ | 1818437472746471424 |
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| author | Andras Bratincsak, MD, PhD Trudy M. Hong, MD Marian E. Melish, MD |
| author_facet | Andras Bratincsak, MD, PhD Trudy M. Hong, MD Marian E. Melish, MD |
| author_sort | Andras Bratincsak, MD, PhD |
| collection | DOAJ |
| description | A 21-year-old man who had an initial misdiagnosis of chest wall cellulitis and sepsis presented to the emergency department with chest pain. Electrocardiogram demonstrated ST-segment elevation in the inferior leads. Cardiac catheterization identified diffuse aneurysmal dilation and thrombosis of the distal right coronary artery. Clinical signs were consistent with acute Kawasaki disease. (Level of Difficulty: Intermediate.) |
| first_indexed | 2024-12-14T17:25:13Z |
| format | Article |
| id | doaj.art-e9c93d268c3f4accae18de6fd2d0da32 |
| institution | Directory Open Access Journal |
| issn | 2666-0849 |
| language | English |
| last_indexed | 2024-12-14T17:25:13Z |
| publishDate | 2021-02-01 |
| publisher | Elsevier |
| record_format | Article |
| series | JACC: Case Reports |
| spelling | doaj.art-e9c93d268c3f4accae18de6fd2d0da322022-12-21T22:53:14ZengElsevierJACC: Case Reports2666-08492021-02-0132276279Acute Adult-Onset Kawasaki Disease Complicated by Coronary Artery Aneurysms, Thrombosis, and ST-Segment Elevation Myocardial InfarctionAndras Bratincsak, MD, PhD0Trudy M. Hong, MD1Marian E. Melish, MD2Department of Pediatrics, John A. Burns School of Medicine, University of Hawaii, Honolulu, Hawaii, USA; Kapiolani Medical Center for Women and Children, Hawaii Pacific Health, Honolulu, Hawaii, USA; Address for correspondence: Dr. Andras Bratincsak, Kapiolani Medical Center for Women and Children, Hawaii Pacific Health, 1319 Punahou Street, Suite 950, Honolulu, Hawaii 96826, USA.Department of Pediatrics, John A. Burns School of Medicine, University of Hawaii, Honolulu, Hawaii, USADepartment of Pediatrics, John A. Burns School of Medicine, University of Hawaii, Honolulu, Hawaii, USA; Kapiolani Medical Center for Women and Children, Hawaii Pacific Health, Honolulu, Hawaii, USAA 21-year-old man who had an initial misdiagnosis of chest wall cellulitis and sepsis presented to the emergency department with chest pain. Electrocardiogram demonstrated ST-segment elevation in the inferior leads. Cardiac catheterization identified diffuse aneurysmal dilation and thrombosis of the distal right coronary artery. Clinical signs were consistent with acute Kawasaki disease. (Level of Difficulty: Intermediate.)http://www.sciencedirect.com/science/article/pii/S2666084920314327coronary aneurysmKawasaki diseasemyocardial infarction |
| spellingShingle | Andras Bratincsak, MD, PhD Trudy M. Hong, MD Marian E. Melish, MD Acute Adult-Onset Kawasaki Disease Complicated by Coronary Artery Aneurysms, Thrombosis, and ST-Segment Elevation Myocardial Infarction JACC: Case Reports coronary aneurysm Kawasaki disease myocardial infarction |
| title | Acute Adult-Onset Kawasaki Disease Complicated by Coronary Artery Aneurysms, Thrombosis, and ST-Segment Elevation Myocardial Infarction |
| title_full | Acute Adult-Onset Kawasaki Disease Complicated by Coronary Artery Aneurysms, Thrombosis, and ST-Segment Elevation Myocardial Infarction |
| title_fullStr | Acute Adult-Onset Kawasaki Disease Complicated by Coronary Artery Aneurysms, Thrombosis, and ST-Segment Elevation Myocardial Infarction |
| title_full_unstemmed | Acute Adult-Onset Kawasaki Disease Complicated by Coronary Artery Aneurysms, Thrombosis, and ST-Segment Elevation Myocardial Infarction |
| title_short | Acute Adult-Onset Kawasaki Disease Complicated by Coronary Artery Aneurysms, Thrombosis, and ST-Segment Elevation Myocardial Infarction |
| title_sort | acute adult onset kawasaki disease complicated by coronary artery aneurysms thrombosis and st segment elevation myocardial infarction |
| topic | coronary aneurysm Kawasaki disease myocardial infarction |
| url | http://www.sciencedirect.com/science/article/pii/S2666084920314327 |
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