An adolescent with Kawasaki disease

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• 作者：Kirti Gupta ; Manojkumar Rohit ; Avinash Sharma ; Ritambhra Nada…
• 关键词：Complications ; Incomplete Kawasaki disease ; Morbidity ; Myocarditis
• 刊名：Indian Pediatrics
• 出版年：2016
• 出版时间：January 2016
• 年：2016
• 卷：53
• 期：1
• 页码：51-56
• 全文大小：534 KB
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  2.Newburger JW, Takahashi M, Gerber MA, Gewitz MH, Tani LY, Burns JC, et al. Diagnosis, treatment, and longterm 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.
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  17.Tsuda E, Hirata T, Matsuo O, Abe T, Sugiyama H, Yamada O, et al. The 30-year outcome for patients after myocardial infarction due to coronary artery lesions caused by Kawasaki disease. Pediatr Cardiol. 2011;32:176–82.PubMed CrossRef
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• 作者单位：Kirti Gupta (1)
  Manojkumar Rohit (2)
  Avinash Sharma (3)
  Ritambhra Nada (1)
  Sanjay Jain (4)
  Subhash Varma (5)
  
  1. Department of Histopathology, Postgraduate Institute of Medical Education and Research (PGIMER), Chandigarh., India
  2. Department of Cardiology, Postgraduate Institute of Medical Education and Research (PGIMER), Chandigarh., India
  3. Department of Pediatric Allergy-immunology Unit, Postgraduate Institute of Medical Education and Research (PGIMER), Chandigarh., India
  4. Department of Pediatrics, Postgraduate Institute of Medical Education and Research (PGIMER), Chandigarh., India
  5. Department of Internal Medicine, Postgraduate Institute of Medical Education and Research (PGIMER), Chandigarh., India
  
• 刊物主题：Pediatrics; Pediatric Surgery; Maternal and Child Health;
• 出版者：Springer India
• ISSN：0974-7559

文摘

Kawasaki disease is an acute vasculitis of unknown etiology that predominantly affects children <5 years of age. The incidence and the severity of myocarditis in this disease is variable and depends upon the stage of the disease, acute or chronic. Acute-stage Kawasaki disease shows relatively high incidence of myocarditis, but almost all cases are clinically mild. We describe teenage boy presenting with atypical/incomplete manifestations of Kawasaki disease and developing fulminant myocarditis within a week of illness resulting in death. The case underscores the importance of suspecting Kawasaki disease in a young child presenting with features of myocardial ischemia. Keywords Complications Incomplete Kawasaki disease Morbidity Myocarditis