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Case Reports
. 2004 Mar;11(3):226-8.
doi: 10.1016/j.arcped.2003.12.017.

[Ischemic colitis and hemophagocytosis complicating Kawasaki disease]

[Article in French]
F Thabet  1 , I Bellara, B Tabarki, H Kchaou, H Selmi, M Yacoub, A S Essoussi
Affiliations
Case Reports

[Ischemic colitis and hemophagocytosis complicating Kawasaki disease]

[Article in French]
F Thabet et al. Arch Pediatr. 2004 Mar.

Abstract

Gastrointestinal manifestations of Kawasaki disease are usually limited to stomatitis, paralytic ileus, and hydrops of the gallbladder. We report a case of Kawasaki disease complicated with hemophagocytosis and ischemic colitis.

Case report: A 5-year-old girl with Kawasaki disease presented with hemophagocytosis that responded to gamma-globulin therapy. On day 4 she had abdominal pain and diarrhea. CT scan showed features suggesting ischemic colitis. Symptoms resolved on total parenteral nutrition.

Conclusion: Ischemic colitis and hemophagocytosis are potential severe complications of Kawasaki disease.

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