2011, Number 2
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ABSTRACTIntroduction: Kawasaki disease is an acute febrile syndrome characterized by systemic vasculitis of unknown etiology that occurs mainly in children under five years old. The diagnosis is clinical, but sometimes the presentation is atypical, making diagnosis difficult.
A case in point is of a patient 1 year 10 months of age with a fever of 10 days duration, treated at the Hospital General de Oaxaca “Dr. Aurelio Valdivieso”, in whom Kawasaki disease was suspected. The patient was evaluated by pediatric cardiology by echocardiogram, which was reported initially normal. He was treated with intravenous gamma globulin and acetylsalicylic acid; nonetheless, coronary artery dilation was detected during a follow-up study.
We believe that there is a under-diagnosis of Kawasaki disease in our community. Given the importance of early diagnosis and prompt treatment in a patient with suggestive data, and taking into account that the signs are not entirely typical in 100% of cases, (as in our aforementioned patient) cardiac evaluation and the initiation of treatment are essential, even when the diagnosis is made after the tenth day of illness.
Newburger JW, Takahashi M, Gerber MA, Gewitz MH, Tani LY, Burns JC, et al. Diagnosis, Treatment, and Long-Term Management of Kawasaki Disease: A Statement or Health Professionals From the Committee on Rheumatic Fever, Endocarditis, and Kawasaki Disease, Council on Cardiovascular Disease in the Young, American Heart Association Pediatrics 2004, 114: 1708-33.