Widened coronary arteries in a feverish child.
A 3-year-old girl with fever of unknown origin after a visit to Surinam was seen at our hospital. Signs and symptoms were indicative of either Kawasaki syndrome or an acute viral or (atypical) bacterial illness. No cardiac abnormalities were noted at echocardiography. She was treated with intravenou...
| Main Authors: | , , , |
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| Formato: | Journal article |
| Idioma: | English |
| Publicado em: |
2006
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| _version_ | 1826261868804571136 |
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| author | Van Doorn, H Lo-A-Njoe, S Ottenkamp, J Pajkrt, D |
| author_facet | Van Doorn, H Lo-A-Njoe, S Ottenkamp, J Pajkrt, D |
| author_sort | Van Doorn, H |
| collection | OXFORD |
| description | A 3-year-old girl with fever of unknown origin after a visit to Surinam was seen at our hospital. Signs and symptoms were indicative of either Kawasaki syndrome or an acute viral or (atypical) bacterial illness. No cardiac abnormalities were noted at echocardiography. She was treated with intravenous immunoglobulin and clarithromycin and made a quick recovery. Serologically, the diagnosis of murine typhus was made; a flea-borne rickettsiosis caused by Rickettsia typhi. A follow-up echocardiography 1 week later showed a dilated left coronary artery, which was normal again 4 weeks later. We suggest that this phenomenon was a manifestation of rickettsial vasculitis. |
| first_indexed | 2024-03-06T19:27:22Z |
| format | Journal article |
| id | oxford-uuid:1c37d95a-0d01-4ebc-a17f-d7d168b5d711 |
| institution | University of Oxford |
| language | English |
| last_indexed | 2024-03-06T19:27:22Z |
| publishDate | 2006 |
| record_format | dspace |
| spelling | oxford-uuid:1c37d95a-0d01-4ebc-a17f-d7d168b5d7112022-03-26T11:04:32ZWidened coronary arteries in a feverish child.Journal articlehttp://purl.org/coar/resource_type/c_dcae04bcuuid:1c37d95a-0d01-4ebc-a17f-d7d168b5d711EnglishSymplectic Elements at Oxford2006Van Doorn, HLo-A-Njoe, SOttenkamp, JPajkrt, DA 3-year-old girl with fever of unknown origin after a visit to Surinam was seen at our hospital. Signs and symptoms were indicative of either Kawasaki syndrome or an acute viral or (atypical) bacterial illness. No cardiac abnormalities were noted at echocardiography. She was treated with intravenous immunoglobulin and clarithromycin and made a quick recovery. Serologically, the diagnosis of murine typhus was made; a flea-borne rickettsiosis caused by Rickettsia typhi. A follow-up echocardiography 1 week later showed a dilated left coronary artery, which was normal again 4 weeks later. We suggest that this phenomenon was a manifestation of rickettsial vasculitis. |
| spellingShingle | Van Doorn, H Lo-A-Njoe, S Ottenkamp, J Pajkrt, D Widened coronary arteries in a feverish child. |
| title | Widened coronary arteries in a feverish child. |
| title_full | Widened coronary arteries in a feverish child. |
| title_fullStr | Widened coronary arteries in a feverish child. |
| title_full_unstemmed | Widened coronary arteries in a feverish child. |
| title_short | Widened coronary arteries in a feverish child. |
| title_sort | widened coronary arteries in a feverish child |
| work_keys_str_mv | AT vandoornh widenedcoronaryarteriesinafeverishchild AT loanjoes widenedcoronaryarteriesinafeverishchild AT ottenkampj widenedcoronaryarteriesinafeverishchild AT pajkrtd widenedcoronaryarteriesinafeverishchild |