Safety netting versus overtreatment in paediatrics: viral infection or incomplete Kawasaki disease?
- PMID: 29122906
- PMCID: PMC5695529
- DOI: 10.1136/bcr-2017-222323
Safety netting versus overtreatment in paediatrics: viral infection or incomplete Kawasaki disease?
Abstract
Kawasaki disease (KD) is the most common systemic vasculitis of childhood. The following presentation of a 4-year-old Irish boy referred to a secondary care paediatric service from the community with prolonged fever, oral mucous membrane changes and painless blistering lesions of the hands and feet in the presence of elevated inflammatory markers serves as an opportunity to discuss the diagnostic criteria and treatment for KD and incomplete KD, an often missed diagnosis with significant paediatric morbidity outside an academic paediatric centre.
Keywords: cardiovascular medicine; emergency medicine; medical education; paediatrics; primary care.
© BMJ Publishing Group Ltd (unless otherwise stated in the text of the article) 2017. All rights reserved. No commercial use is permitted unless otherwise expressly granted.
Conflict of interest statement
Competing interests: None declared.
Similar articles
-
Acute renal failure and febrile rash--infectious or not? Adult Kawasaki disease (KD).Nephrol Dial Transplant. 2007 Mar;22(3):949-51. doi: 10.1093/ndt/gfl792. Epub 2007 Jan 8. Nephrol Dial Transplant. 2007. PMID: 17210597 No abstract available.
-
A 5-year-old boy with fever and rash. Incomplete Kawasaki disease.Pediatr Ann. 2011 Apr;40(4):185-7. doi: 10.3928/00904481-20110316-04. Pediatr Ann. 2011. PMID: 21485993 No abstract available.
-
Kawasaki disease.Pediatr Emerg Care. 2003 Dec;19(6):422-4. doi: 10.1097/01.pec.0000101587.65509.90. Pediatr Emerg Care. 2003. PMID: 14676495 Review. No abstract available.
-
Meningoencephalitis as a presentation of Kawasaki disease.J Child Neurol. 2006 Dec;21(12):1080-1. doi: 10.1177/7010.2006.00232. J Child Neurol. 2006. PMID: 17156704
-
Evidence-based management of Kawasaki disease in the emergency department.Pediatr Emerg Med Pract. 2015 Jan;12(1):1-20; quiz 21. Pediatr Emerg Med Pract. 2015. PMID: 25693305 Review.
References
-
- Newburger JW, Takahashi M, Gerber MA, et al. . Diagnosis, treatment, and long-term management of Kawasaki disease: a statement for health professionals from the committee on rheumatic fever, endocarditis and kawasaki disease, council on cardiovascular disease in the young, American heart association. Circulation 2004;110:2747–71. 10.1161/01.CIR.0000145143.19711.78 - DOI - PubMed
-
- Newburger JW, Takahashi M, Gerber MA, et al. . Diagnosis, treatment, and long-term management of Kawasaki disease: a statement for health professionals from the committee on rheumatic fever, endocarditis, and Kawasaki disease, council on cardiovascular disease in the Young, American heart association. Pediatrics 2004;114:1708–33. 10.1542/peds.2004-2182 - DOI - PubMed
Publication types
MeSH terms
Substances
LinkOut - more resources
Full Text Sources
Other Literature Sources
Medical