Giant coronary artery aneurysms in a 12-week-old infant with incomplete Kawasaki disease.

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Authors
Guile, L.
Parke, Simon
Kelly, A.
Tulloh, R.
Journal
BMJ case reports
Type
Case Report
Publisher
BMJ
Rights
Archived with thanks to BMJ case reports. this is an open access article distributed in accordance with the Creative Commons attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. see: http:// creativecommons. org/ licenses/ by- nc/ 4. 0/
Kawasaki disease (KD) is an acute inflammatory vasculitis that occurs worldwide and disproportionately affects male children, most commonly between the ages of 6 months and 5 years. KD can present with only a few features and thus be difficult to diagnose, particularly in the youngest and oldest patients. We describe a 12-week-old Caucasian female infant who presented with rash and fever but no other features of KD, who developed giant coronary artery aneurysms. Considering how common is the presentation of a febrile infant with a rash, this case highlights the importance of considering KD early in the differential diagnosis for any infant with unexplained fever. Furthermore, it emphasises how echocardiography can help in the investigation of a febrile child with no clear source of infection.
Citation
Giant coronary artery aneurysms in a 12-week-old infant with incomplete Kawasaki disease. 2018, 2018 BMJ Case Rep
Note
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