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Paediatr Int Child Health. 2016 Feb;36(1):76-8. doi: 10.1179/2046905515Y.0000000002. Epub 2015 Feb 19.

Kawasaki disease shock syndrome: case report.

Author information

1
Departments of Family Medicine & Community Health, Tri-Service General Hospital, National Defense Medical Center, Taipei, Taiwan
2
Pediatrics, Tri-Service General Hospital, National Defense Medical Center, Taipei, Taiwan

Abstract

Kawasaki disease (KD) is a systemic vasculitis which presents with stable vital signs. Shock rarely occurs in such cases, but it may occur in the acute phase of KD. This report describes a 7-year-old boy with KD shock syndrome (KDSS) who presented with persistent fever, injected conjunctiva, a polymorphic skin rash, echocardiography indicating coronary artery dilatation, and shock. The patient's haemodynamic status markedly improved with immunoglobulin therapy. Early recognition of KDSS can be challenging; however, delay in diagnosis can increase the risk of coronary artery abnormalities and death.

KEYWORDS:

Immunoglobulin; Kawasaki disease; Shock

PMID:
25695906
DOI:
10.1179/2046905515Y.0000000002
[Indexed for MEDLINE]

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