del Monte MEA, González LRH, García DM, Yamasaki NMA, Huerta LJG

Language: Spanish
References: 11
Page: 30-33
PDF size: 284.11 Kb.

ABSTRACT

Kawasaki disease (KD) is a systemic vasculitis which regularly presents with stable vital signs. Shock rarely occurs in such cases, but it may occur in the acute phase of KD. This report describes a 10-month-old girl with KD shock syndrome (KDSS) who presented with persistent fever, injected conjunctiva, a polymorphic skin rash, echocardiography indicating coronary artery dilatation, and shock. The patient’s haemodynamic status markedly improved with immunoglobulin therapy. Early recognition of KDSS can be challenging; however, delay in diagnosis can increase the risk of coronary artery abnormalities, cardiac failure and death.

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