Kawasaki Disease with Acute Respiratory Distress Syndrome after Intravenous Immunoglobulin Infusion / 대한구급학회지
The Korean Journal of Critical Care Medicine
;
: 336-340, 2014.
Artigo
em Inglês
| 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.
Texto completo:
DisponíveL
Índice:
WPRIM (Pacífico Ocidental)
Assunto principal:
Recidiva
/
Síndrome do Desconforto Respiratório
/
Imunoglobulinas
/
Ventilação de Alta Frequência
/
Aspirina
/
Imunoglobulinas Intravenosas
/
Diagnóstico
/
Exantema
/
Vasculite Sistêmica
/
Injúria Renal Aguda
Tipo de estudo:
Estudo diagnóstico
Limite:
Humanos
Idioma:
Inglês
Revista:
The Korean Journal of Critical Care Medicine
Ano de publicação:
2014
Tipo de documento:
Artigo
Similares
MEDLINE
...
LILACS
LIS