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J Pediatr Intensive Care. 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.

Author information

1
Department of Pediatric Cardiology, Bezmialem Vakif University, Istanbul, Turkey.
2
Department of Pediatric Critical Care Medicine, Bezmialem Vakif University, Istanbul, Turkey.
3
Faculty of Medicine, Bezmialem Vakif University, Istanbul, Turkey.
4
Department of Pediatric Infectious Diseases, Bezmialem Vakif University, Istanbul, Turkey.

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

PMID:
31984160
PMCID:
PMC6978168
[Available on 2021-03-01]
DOI:
10.1055/s-0039-1697978

Conflict of interest statement

Conflict of Interest None declared.

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