A Case of Atypical Kawasaki Disease / 소아알레르기및호흡기학회지
Pediatric Allergy and Respiratory Disease
; : 311-315, 2005.
Artigo
em Coreano
| WPRIM (Pacífico Ocidental)
| ID: wpr-8932
Biblioteca responsável:
WPRO
ABSTRACT
Kawaski disease is the leading cause of acquired heart disease in children in many parts of the world. Atypical Kawasaki disease does not meet the diagnostic criteria of Kawasaki disease. Incomplete presentations make early diagnosis and timely treatment difficult. Delays in diagnosis and treatment are associated with an increased risk of coronary artery aneurysm. Thus, echocardiography should be considered in febrile infants of uncertain etiology. Clinical practitioners should have a high index of suspicion to diagnose and initiate prompt treatment to reduce the comorbidity of coronary arterial disease in patients with atypical Kawasaki disease. A 9-month-old girl had daily high spiking fever for 9 days and showed erythematous change on BCG vaccination site only. Echocardiography was performed and disclosed saccular aneurysm of left coronary artery and diffuse right coronary artery dilatation. She was treated with intravenous immunoglobulin and aspirin. After 6 months, a follow-up echocardiogram revealed decreased size of coronary arteries. In such cases, careful evaluation of clinical findings with erythematous change on BCG vaccination site are needed.
Texto completo:
Disponível
Contexto em Saúde:
ODS3 - Saúde e Bem-Estar
/
Doenças Negligenciadas
/
ODS3 - Meta 3.3 Acabar com as doenças tropicais negligenciadas e combater as doenças transmissíveis
/
ODS3 - Meta 3.4 Reduzir as mortes prematuras devido doenças não transmissíveis
/
ODS3 - Meta 3.2 Reduzir as mortes de recém nascidos e crianças com menos de 5 anos
Problema de saúde:
Meta 3.3: Acabar com as doenças tropicais negligenciadas e combater as doenças transmissíveis
/
Meta 3.4: Reduzir as mortes prematuras devido doenças não transmissíveis
/
Meta 3.2: Reduzir as mortes de recém nascidos e crianças com menos de 5 anos
/
Doenças Negligenciadas
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Tuberculose
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Tuberculose
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Doença Cardiovascular
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Doenças da Pele
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Infecções
Base de dados:
WPRIM (Pacífico Ocidental)
Assunto principal:
Imunoglobulinas
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Vacina BCG
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Ecocardiografia
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Comorbidade
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Aspirina
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Seguimentos
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Vacinação
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Vasos Coronários
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Diagnóstico Precoce
/
Diagnóstico
Tipo de estudo:
Estudo diagnóstico
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Estudo observacional
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Estudo prognóstico
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Estudo de rastreamento
Limite:
Criança
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Feminino
/
Humanos
/
Lactente
Idioma:
Coreano
Revista:
Pediatric Allergy and Respiratory Disease
Ano de publicação:
2005
Tipo de documento:
Artigo