| Unusual manifestations of Kawasaki disease with retropharyngeal edema and shock syndrome in a Taiwanese child. | |
| | |
MedLine Citation:
|
PMID: 22503799 Owner: NLM Status: Publisher |
Abstract/OtherAbstract:
|
We report a 3-year-old girl with Kawasaki disease who presented with retropharyngeal edema and shock syndrome. This is the first reported case in Taiwan. The patient initially presented with fever, cough, and pyuria followed by rapidly progressive enlarged bilateral cervical lymphadenopathy. On the third day of the fever, computed tomography for airway compression sign found widening of the retropharyngeal space mimicking a retropharyngeal abscess. Later, an endotracheal tube was inserted for respiratory distress. A skin rash over her trunk was also noted. On the fifth day of the fever, the clinical course progressed to hypotension and shock syndrome. Because of more swelling of bilateral neck lymph nodes, computed tomography was arranged again and revealed partial resolution of the edematous changes in the retropharyngeal space. Edema of the hands and feet, bilateral bulbar conjunctivitis, and fissured lips were subsequently found. The diagnosis of Kawasaki disease was confirmed on the eighth day of fever. There was no evidence of bacterial infection. She was administered intravenous immunoglobulin (2 mg/kg) and high dose aspirin (100 mg/kg/day). One day later, the fever subsided, and her blood pressure gradually became stable. Heart echocardiography on the Day 13 revealed dilated left coronary artery and mitral regurgitation. Follow-up echocardiography six months later showed normal coronary arteries. To date, the patient has not experienced any complications. This case illustrates that retropharyngeal edema and shock syndrome can be present in the same clinical course of Kawasaki disease. Clinicians and those who work in intensive care units should be aware of unusual presentations of Kawasaki disease to decrease rates of cardiovascular complications. |
| | |
Authors:
|
Li-Ching Fang; Shyh-Dar Shyur; Chun-Chih Peng; Wai-Tim Jim; Szu-Hung Chu; Yu-Hsuan Kao; Chen-Kuan Chen; Ling-Chun Liu |
Related Documents
:
|
22373669 - Mortality of inherited arrhythmia syndromes; insight into their natural history. 7443119 - Gonadoblastoma with a 45,xo karyotype. 22596079 - Self-reported fever and measured temperature in emergency department records used for s... 18971129 - Pathophysiology of cyclic hemorrhagic ascites and endometriosis. 22704409 - Clinical epidemiology survey of the traditional chinese medicine etiology and syndrome ... 22343659 - Renal biopsy in very elderly patients: data from the spanish registry of glomerulonephr... 21251069 - Cover caption. 16052699 - Heart-touching chilaiditi's syndrome. 15266619 - A female with complete lack of müllerian fusion, postaxial polydactyly, and tetralogy ... |
Publication Detail:
|
Type: JOURNAL ARTICLE Date: 2012-4-12 |
Journal Detail:
|
Title: Journal of microbiology, immunology, and infection = Wei mian yu gan ran za zhi Volume: - ISSN: 1995-9133 ISO Abbreviation: - Publication Date: 2012 Apr |
Date Detail:
|
Created Date: 2012-4-16 Completed Date: - Revised Date: - |
Medline Journal Info:
|
Nlm Unique ID: 100956211 Medline TA: J Microbiol Immunol Infect Country: - |
Other Details:
|
Languages: ENG Pagination: - Citation Subset: - |
Copyright Information:
|
Copyright © 2012. Published by Elsevier B.V. |
Affiliation:
|
Department of Pediatrics, Mackay Memorial Hospital, Taipei, Taiwan. |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
|
|
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
Previous Document: Immune reconstitution inflammatory syndrome of Kaposi's sarcoma in an HIV-infected patient.
Next Document: Tigecycline therapy for bacteremia and aortitis caused by Salmonella enterica serotype Choleraesuis:...