Document Detail


Fatal cardiac tamponade in a patient with Kawasaki disease.
MedLine Citation:
PMID:  16027646     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Kawasaki disease (KD) is usually a self-limiting condition, but cardiac complications are not uncommon and can lead to significant morbidity and mortality. This article describes the case of an 18-year-old man with rapidly progressive and ultimately fatal KD. Polyserositis syndrome and cardiac tamponade developed during a convalescent phase of the illness. Treatment with high-dose corticosteroid and intravenous immunoglobulin-G therapy was unsuccessful. The patient continued to deteriorate despite supportive care. Severe cardiac tamponade developed, and percutaneous pericardiocentesis was performed, but the patient died hours later. This is the second reported case of KD featuring a polyserositis syndrome and impending cardiac tamponade, and the first with fatal outcome.
Authors:
Hakan Ozdogu; Can Boga
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Heart & lung : the journal of critical care     Volume:  34     ISSN:  0147-9563     ISO Abbreviation:  Heart Lung     Publication Date:    2005 Jul-Aug
Date Detail:
Created Date:  2005-07-19     Completed Date:  2005-11-14     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0330057     Medline TA:  Heart Lung     Country:  United States    
Other Details:
Languages:  eng     Pagination:  257-9     Citation Subset:  AIM; IM    
Affiliation:
Department of Internal Medicine, Baskent University Faculty of Medicine, Adana Teaching and Medical Research Center, Adana, Turkey.
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MeSH Terms
Descriptor/Qualifier:
Adolescent
Cardiac Tamponade / etiology*,  therapy
Disease Progression
Fatal Outcome
Glucocorticoids / therapeutic use
Humans
Immunoglobulins, Intravenous / therapeutic use
Male
Mucocutaneous Lymph Node Syndrome / complications*
Pericardial Effusion / complications,  therapy
Pericardiocentesis
Chemical
Reg. No./Substance:
0/Glucocorticoids; 0/Immunoglobulins, Intravenous

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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