Document Detail


Kawasaki disease with coronary artery sequelae.
MedLine Citation:
PMID:  17267879     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
BACKGROUND: Kawasaki disease is an acute febrile illness characterized by mucosal inflammation, skin rash, and cervical lymphadenopathy, with potential for cardiac sequelae, including coronary aneurysms with subsequent thrombosis, infarction, and death. Pregnancy in affected women presents multiple maternal risks. CASE: A woman with Kawasaki disease complicated by coronary aneurysms underwent two consecutive pregnancies without further difficulty. She was maintained on therapeutic enoxaparin, alpha-methyldopa, and labetalol, with labor induction, passive second stage, and continued anticoagulation for 6 weeks postpartum. During gestations she was assessed with echocardiography, electrocardiography, and cardiac event monitor and managed by a maternal-fetal medicine and cardiology team. CONCLUSION: Kawasaki disease with coronary aneurysms presents challenges for obstetric management; obstetricians should be familiar with the disease, implications, and management in pregnancy.
Authors:
Judith U Hibbard; Javier E Fajardo; Joan Briller
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Obstetrics and gynecology     Volume:  109     ISSN:  0029-7844     ISO Abbreviation:  Obstet Gynecol     Publication Date:  2007 Feb 
Date Detail:
Created Date:  2007-02-01     Completed Date:  2007-02-20     Revised Date:  2009-10-26    
Medline Journal Info:
Nlm Unique ID:  0401101     Medline TA:  Obstet Gynecol     Country:  United States    
Other Details:
Languages:  eng     Pagination:  517-9     Citation Subset:  AIM; IM    
Affiliation:
Department of Obstetrics and Gynecology, University of Illinois at Chicago, Chicago, Illinois 60612, USA. jhibbar@uic.edu
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MeSH Terms
Descriptor/Qualifier:
Adult
Anticoagulants / therapeutic use
Coronary Aneurysm / complications,  diagnosis*,  radiography
Coronary Angiography
Diagnosis, Differential
Female
Humans
Mucocutaneous Lymph Node Syndrome / complications,  diagnosis*,  radiography
Pregnancy
Pregnancy Complications, Cardiovascular / diagnosis*,  radiography
Pregnancy Trimester, First
Prenatal Diagnosis*
Chemical
Reg. No./Substance:
0/Anticoagulants

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


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