Unusual Presentation Of Kawasaki Disease With Gastrointestinal And Renal Manifestations
| Autor: | Cecilia Lazea, Radu Sorin Șerban, Lucia Sur, Oana Iulia Man, Calin Lazar |
|---|---|
| Rok vydání: | 2019 |
| Předmět: |
Glycosuria
medicine.medical_specialty 030204 cardiovascular system & hematology Anterior Descending Coronary Artery Gastroenterology 03 medical and health sciences 0302 clinical medicine Internal medicine Ectasia medicine Pharmacology (medical) 030212 general & internal medicine General Pharmacology Toxicology and Pharmaceutics Aspirin Chemical Health and Safety Proteinuria business.industry Metabolic acidosis General Medicine medicine.disease Vomiting Kawasaki disease medicine.symptom business Safety Research medicine.drug |
| Zdroj: | Therapeutics and Clinical Risk Management. 15:1411-1416 |
| ISSN: | 1178-203X |
| Popis: | Diagnosis of Kawasaki disease (KD) is based on well-established clinical criteria. In incomplete or atypical KD, the diagnosis is challenging, because of the paucity of clinical signs or because of the presence of clinical manifestations that generally are not seen in KD. We describe the case of a 3-year-old female patient with persistent high fever, vomiting, watery diarrhea, metabolic acidosis and severe hypopotassemia. On the fourth day of fever, bilateral conjunctivitis, mucous and extremity changes were registered. Urine changes as glycosuria and proteinuria were also noticed. Echocardiography revealed ectasia of the left anterior descending coronary artery, and diagnosis of KD was established. The treatment consisted of intravenous immunoglobulin (IVIG) and oral aspirin. Recurrence of disease was recorded on the 23rd day of the disease, with favorable evolution after the second dose of IVIG was infused. |
| Databáze: | OpenAIRE |
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