A Case of Kawasaki Disease Complicated With Cerebral Salt-Wasting Syndrome.
| Autor: | Oshima M; Department of Pediatrics, Numazu City Hospital, Shizuoka, Japan., Fukuhara J; Department of Pediatrics, Numazu City Hospital, Shizuoka, Japan., Noto T; Department of Pediatrics, Numazu City Hospital, Shizuoka, Japan., Noguchi T; Department of Pediatrics, Numazu City Hospital, Shizuoka, Japan., Murabayashi M; Department of Pediatrics, Numazu City Hospital, Shizuoka, Japan., Ayusawa M; Department of Pediatrics and Child Health, Nihon University School of Medicine, Tokyo, Japan., Morioka I; Department of Pediatrics and Child Health, Nihon University School of Medicine, Tokyo, Japan. |
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| Jazyk: | angličtina |
| Zdroj: | Frontiers in pediatrics [Front Pediatr] 2020 Jul 17; Vol. 8, pp. 325. Date of Electronic Publication: 2020 Jul 17 (Print Publication: 2020). |
| DOI: | 10.3389/fped.2020.00325 |
| Abstrakt: | We report the case of a 3-years-old boy who developed severe hyponatremia and unconsciousness during an episode of Kawasaki disease (KD). He was diagnosed with cerebral salt-wasting syndrome (CSWS), which has not previously been reported as a complication of KD. He was diagnosed with KD with fever and four clinical signs and received intravenous immunoglobulin (IVIG) on the day after onset. Hyponatremia had been observed, and it worsened after IVIG. At first, syndrome of inappropriate antidiuretic hormone secretion (SIADH) was suspected, but his hyponatremia did not improve by restriction of water intake. The patient's consciousness level decreased along with the worsening hyponatremia. Electroencephalography revealed abnormal electrical discharge concordant with acute encephalopathy. Laboratory data showed hypouricemia with high fractional excretion of uric acid (FEUA), in addition to a negative balance of both Na and water. We diagnosed KD complicated with CSWS. The patient improved promptly with appropriate Na supplementation and water correction. (Copyright © 2020 Oshima, Fukuhara, Noto, Noguchi, Murabayashi, Ayusawa and Morioka.) |
| Databáze: | MEDLINE |
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