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Case Reports
. 2020 Mar;9(1):60-63.
doi: 10.1055/s-0039-1697978. Epub 2019 Oct 9.

A 13-Year-Old Boy Who Has Kawasaki Disease Shock Syndrome Presents with Parotitis

Yilmaz Yozgat  1 , Selcuk Uzuner  2 , Aysegul Dogan Demir  2 , Mustafa Ogur  2 , Can Yilmaz Yozgat  3 , Ozden Turel  4
Affiliations
Case Reports

A 13-Year-Old Boy Who Has Kawasaki Disease Shock Syndrome Presents with Parotitis

Yilmaz Yozgat et al. J Pediatr Intensive Care. 2020 Mar.

Abstract

We report a 13-year-old boy who (initially) had symptoms of toxic shock-like syndrome and mumps. Then, the patient was hospitalized in the pediatric intensive care unit (PICU) because of his ongoing hemodynamic instability (low blood pressure of 70/30 mm Hg and capillary refill time of > 4 seconds). During his stay in the PICU, the patient was treated with fluid resuscitation and vasoactive infusion and at the same time was diagnosed with Kawasaki disease shock syndrome (KDSS), when giant right coronary artery aneurysms were detected on echocardiographic examination. This case illustrates the risk of KDSS in patient who carries both parotitis and toxic shock-like syndrome. The clinicians should be cautious about detecting any types of coronary artery aneurysms in such patients. This is the first case of KDSS associated with parotitis reported in the literature.

Keywords: Kawasaki disease shock syndrome; parotitis; toxic shock syndrome.

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Conflict of interest statement

Conflict of Interest None declared.

Figures

Fig. 1
Fig. 1
Parotid swelling on the left side.
Fig. 2
Fig. 2
Bilateral subconjunctival hemorrhage.
Fig. 3
Fig. 3
Rash seen on the patient's back.
Fig. 4
Fig. 4
Bilateral swelling of the patient's hand.
Fig. 5
Fig. 5
A strawberry-like tongue with cracked lips.
See this image and copyright information in PMC

References

    1. Barut K, Sahin S, Kasapcopur O. Pediatric vasculitis. Curr Opin Rheumatol. 2016;28(01):29–38. - PubMed
    1. Newburger J W, Takahashi M, Gerber M A 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(17):2747–2771. - PubMed
    1. Harwood-Nuss A L, Perry S. New York: McGraw-Hill; 1996. Toxic shock syndrome and toxic shock-like syndrome; pp. 697–701.
    1. Wolf J E, Rabinowitz L G. Streptococcal toxic shock-like syndrome. Arch Dermatol. 1995;131(01):73–77. - PubMed
    1. Gamez-Gonzalez L B, Moribe-Quintero I, Cisneros-Castolo M et al.Kawasaki disease shock syndrome: unique and severe subtype of Kawasaki disease. Pediatr Int (Roma) 2018;60(09):781–790. - PubMed

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