An Unusual Case of Incomplete Kawasaki Disease in an Adolescent Returning From Holiday in Montana

作者：Hyams Catherine; Day Thomas G^*; Ramroop Shiva; Paget Stephanie; Howard Sasha; McMillan Merlin; Vora Surabhi; de Keyser Paul

来源：Pediatric Cardiology, 2012, 33(7): 1196-1199.

DOI：10.1007/s00246-012-0246-3

• Kawasaki
• Pediatrics
• Cardiology

Here we present an unusual case of incomplete Kawasaki disease in a 15-year-old boy returning from a holiday with his family in Montana. His symptoms were initial diarrhoea and lethargy, with fever, rash, conjunctivitis, and arthralgia developing during the course of his illness. His condition worsened while he was at his local hospital, and he was transferred to the regional tertiary paediatric hospital. An initial echocardiogram was normal; however, repeat echocardiogram showed dilated coronary arteries with subsequent development of peeling of the skin on the hands and feet. The patient was started on intravenous immunoglobulin and high-dose aspirin and improved clinically. He was discharged home and remains under follow-up by the infectious diseases and cardiology teams.

• 出版日期2012-10