Sudden infant death caused by a ruptured coronary aneurysm during acute phase of atypical Kawasaki disease
| Autor: | Loredana Meschis, Emiliano Maresi, Midulla R, Gaspare Becchina, G. M. Amato, Rita Passantino, Elisabetta Orlando, Gabriella Ottoveggio |
|---|---|
| Rok vydání: | 2001 |
| Předmět: |
Male
medicine.medical_specialty Thrombocytosis business.industry Vascular disease Coronary Aneurysm Infant Autopsy Mucocutaneous Lymph Node Syndrome medicine.disease Sudden death Pathology and Forensic Medicine Surgery Fatal Outcome Cardiac tamponade Acute Disease medicine Humans Kawasaki disease Leukocytosis medicine.symptom business Complication Sudden Infant Death |
| Zdroj: | Human Pathology. 32:1407-1409 |
| ISSN: | 0046-8177 |
| Popis: | This article describe's a case of atypical Kawasaki disease (AKD) with lack of typical clinical signs and rapid fatal course in a 2-month-old infant, who 1 week before hospitalization demonstrated rhinitis, coughing without fever, and later conjunctival hyperemia and allergic exanthema on chest and arms. On admittance, labwork highlighted the following: leukocytosis, thrombocytosis, elevated sedimentation rate, and positive C-reactive protein. General conditions remained mediocre for 7 days until sudden death occurred. The autopsy confirmed death caused by cardiac tamponade caused by a ruptured inflammated aneurysm of the left anterior descending coronary artery. We believe that the currently accepted clinical diagnostics criteria for KD in infants 2 years of age or younger can cause missed in vita diagnosis of AKD. For such, any typical clinical sign of KD whenever associated with thrombocytosis and elevated indices of phlogosis, should led to suspicion of KD and permit cardiovascular examination, and thus early treatment. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|
Full Text from ScienceDirect