Atypical Kawasaki Disease in an Adolescent with Multivisceral Involvement

Autor: Zohair El Haddar, Aziza El Ouali, Ayad Ghanam, Maria Rkain, Noufissa Benajiba, Abdeladim Babakhouya
Jazyk: angličtina
Rok vydání: 2021
Předmět:
Zdroj: Case Reports in Pediatrics, Vol 2021 (2021)
Druh dokumentu: article
ISSN: 2090-6803
2090-6811
DOI: 10.1155/2021/8941847
Popis: Kawasaki disease (KD) is a vasculitis mostly seen in children aged less than 5 years. It can involve different organs and tissues. Its diagnosis is based on the clinical criteria of the American Heart Association (AHA). We report a case of a Moroccan adolescent with an atypical presentation of KD initially treated as typhoid fever. Gastrointestinal, renal, and pulmonary signs were the main clinical findings that made the diagnosis of KD challenging and delayed. The consequence was a severe cardiac damage with myocarditis and coronary artery dilation. KD is uncommon in adolescents, and it is important to recognize the atypical forms and the different presentations of KD in order to prevent the delay of diagnosis and treatment, and hence the cardiac complications.
Databáze: Directory of Open Access Journals
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