Hostname: page-component-76fb5796d-5g6vh Total loading time: 0 Render date: 2024-04-28T16:02:11.279Z Has data issue: false hasContentIssue false
  • English
  • Français

Giant coronary aneurysms developed in a child of Kawasaki disease with only 3 days of fever

Published online by Cambridge University Press:  22 March 2010

Ming-Chih Lin ,
Chun-Ming Hsu  and
Yun-Ching Fu
Ming-Chih Lin
Affiliation:
Department of Pediatrics, Institute of Clinical Medicine, National Yang-Ming University, Taipei, Taiwan Division of Pediatric Cardiology, Department of Pediatrics, Taichung Veterans General Hospital, Taichung, Taiwan Institute of Preventive Medicine, College of Public Health, National Taiwan University, Taipei, Taiwan
Chun-Ming Hsu
Affiliation:
Division of Pediatrics, Kuang-Tien General Hospital, Taichung, Taiwan
Yun-Ching Fu*
Affiliation:
Department of Pediatrics, Institute of Clinical Medicine, National Yang-Ming University, Taipei, Taiwan Division of Pediatric Cardiology, Department of Pediatrics, Taichung Veterans General Hospital, Taichung, Taiwan
*
Correspondence to: Yun-Ching Fu, MD, PhD, Department of pediatrics, Taichung Veterans General Hospital, 160, Sec. 3, Chung-Kang Road, Taichung, 40705, Taiwan. Tel: 886 4 23592525, Ext. 5900; Fax: 886 4 23741359; E-mail: ivanfu@vghtc.gov.tw
Get access Rights & Permissions [Opens in a new window]

Abstract

Prolonged fever, 5 days or more, is the cardinal feature of Kawasaki disease. We described a 5-year-old boy with initial presentations of fever, conjunctivitis, and strawberry tongue. The fever only lasted for 3 days. However, giant coronary aneurysms developed later. This patient reminds us that coronary complications could happen even the fever is less than 5 days. Criteria of fever duration might need reconsideration.

Keywords

Coronary aneurysmfeverKawasaki disease
Type
Brief Reports
Information
Cardiology in the Young , Volume 20 , Issue 3 , June 2010 , pp. 339 - 341
Copyright
Copyright © Cambridge University Press 2010

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

1. Newburger, JW, Takahashi, M, Gerber, MA, et al. Diagnosis, treatment, and long-term management of Kawasaki disease: a statement for health professionals from the committee on rheumatic fever, endocarditis, and kawasaki disease, council on cardiovascular disease in the young, American heart association. Pediatrics 2004; 114: 1708–1733.CrossRefGoogle Scholar
2. Burns, JC, Glode, MP. Kawasaki syndrome. Lancet 2004; 364: 533–544.CrossRefGoogle ScholarPubMed
3. Holman, RC, Curns, AT, Belay, ED, et al. Kawasaki syndrome hospitalizations in the United States, 1997 and 2000. Pediatrics 2003; 112: 495–501.CrossRefGoogle ScholarPubMed
4. Holman, RC, Belay, ED, Curns, AT, et al. Kawasaki syndrome hospitalizations among children in the United States, 1988–1997. Pediatrics 2003; 111: 448.CrossRefGoogle ScholarPubMed
5. Yanagawa, H, Nakamura, Y, Yashiro, M, et al. Incidence survey of Kawasaki disease in 1997 and 1998 in Japan. Pediatrics 2001; 107: E33.CrossRefGoogle ScholarPubMed
6. Senzaki, H. Long-term outcome of Kawasaki disease. Circulation 2008; 118: 2763–2772.CrossRefGoogle ScholarPubMed
7. Belay, ED, Maddox, RA, Holman, RC, et al. Kawasaki syndrome and risk factors for coronary artery abnormalities: United States, 1994–2003. Pediatr Infect Dis J 2006; 25: 245–249.CrossRefGoogle ScholarPubMed
8. Sonobe, T, Kiyosawa, N, Tsuchiya, K, et al. Prevalence of coronary artery abnormality in incomplete Kawasaki disease. Pediatr Int 2007; 49: 421–426.CrossRefGoogle ScholarPubMed
9. Witt, MT, Minich, LL, Bohnsack, JF, et al. Kawasaki disease: more patients are being diagnosed who do not meet American Heart Association criteria. Pediatrics 1999; 104: e10.CrossRefGoogle Scholar