Kawasaki's disease: An unusual presentation
- PMID: 22923945
- PMCID: PMC3425034
- DOI: 10.4103/0975-3583.98902
Kawasaki's disease: An unusual presentation
Abstract
Atypical presentations of Kawasaki's disease have been described in the form of intestinal pseudo-obstruction, tonsillitis, hemorrhagic serous effusions, thrombocytopenia, and non-fulfillment of all criteria for diagnosis of Kawasaki's disease. However, presentation of Kawasaki's disease with shock and need for ionotropic support have been rarely described. We present a 4-year-old girl with Kawasaki's disease who presented with anasarca, oliguria, shock, and presence of dilated coronary arteries within 5 days of fever and responded to intravenous immunoglobulin (IVIG) and inotropic support.
Keywords: Atypical presentation; Kawasaki's disease; children.
Conflict of interest statement
References
-
- Kawasaki T, Kosaki F, Okawa S, Shigematsu I, Yanagawa H. A new infantile acute febrile mucocutanous lymph node syndrome (MLNS) prevailing in Japan. Pediatrics. 1974;54:271–6. - PubMed
-
- Hathursinghe HR, Patel S, Uppal HS, Rav J. Acute tonsillitis : an unusual presentation of Kawasaki syndrome : a case report and review of the literature. Eur Arch Otorhinolaryngol. 2006;263:336–8. - PubMed
-
- Dorongpisitkul K, Gururaj VJ, Park JM, Martin CF. The prevention of coronary artery aneurysm in Kawasaki Disease: A meta-analysis on the efficacy of aspirin and immunoglobin treatment. Pediatrics. 1995;96:1057–61. - PubMed
