Steroid Pulse Therapy for Kawasaki Disease Complicated with Myocarditis.

Background: The clinical management of intravenous immunoglobulin-resistant Kawasaki disease shock syndrome (KDSS) is obscure. Case characteristics: Three children presented with intravenous immunoglobulin-resistant KDSS complicated with myocarditis. Outcome: All cases were successfully managed with steroid pulse therapy. Message: Steroid pulse therapy is effective in immunoglobulin-resistant KDSS.