Kawasaki Disease with Acute Respiratory Distress Syndrome after Intravenous Immunoglobulin Infusion / 대한구급학회지
The Korean Journal of Critical Care Medicine
;
: 336-340, 2014.
Article
in English
| WPRIM
| ID: wpr-770830
ABSTRACT
Kawasaki disease (KD) is an acute systemic vasculitis of unknown etiology. We report a case of KD with acute respiratory distress syndrome (ARDS) after intravenous immunoglobulin (IVIG) infusion. Lung manifestations associated with KD have previously been reported in the literature. Although IVIG infusion is an effective therapy for acute KD, there are some reported complications related to IVIG infusion hypotension, aseptic meningitis, acute renal failure, hemolytic anemia, etc. The case of KD reported here was treated with IVIG and aspirin. A few days after recovery from KD, the patient developed fever and maculopapular rash. A diagnosis of relapse KD was made and retreated with IVIG infusion. However, the patient developed ARDS four days after the second IVIG infusion. The patient recovered from ARDS after nine days of ICU care, which included high frequency oscillation ventilation with inhaled nitric oxide, steroid treatment and other supportive care.
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Recurrence
/
Respiratory Distress Syndrome
/
Immunoglobulins
/
High-Frequency Ventilation
/
Aspirin
/
Immunoglobulins, Intravenous
/
Diagnosis
/
Exanthema
/
Systemic Vasculitis
/
Acute Kidney Injury
Type of study:
Diagnostic study
Limits:
Humans
Language:
English
Journal:
The Korean Journal of Critical Care Medicine
Year:
2014
Type:
Article
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