CASE REPORT
INCOMPLETE KAWASAKI DISEASE IN AN INFANT WITH PNEUMONIA
DOI:
https://doi.org/10.54620/cadesp.v18i1.1879Keywords:
Fever, Pneumonia, Mucocutaneos Lymph Node Syndrome, VasculitisAbstract
To report a case of incomplete Kawasaki Disease (KD) with concomitant infection - pneumonia - in infant who was admitted to a secondary hospital of the Unified Health System in the pediatric ward in Fortaleza, Ceará. It is a cross-sectional observational study with descriptive and retrospective elements carried out in January 2024, through electronic medical record review. The assistant team was responsible for the study and used the literature found in UpToDate and MEDLINE as a reference base. It was demonstrated that concomitant infection does not exclude the diagnosis of incomplete KD and that treatment is instituted late - approximately 22.4 days after the onset of fever. The presence of infection did not alter the response to therapy. Incomplete KD must be considered in patients with prolonged febrile illness in an attempt to institute therapy and avoid complications.
Downloads
References
Burns JC, Glodé MP. Kawasaki syndrome. Lancet. 2004 ago. 7-13;364(9433):533-44. DOI: 10.1016/S0140-6736(04)16814-1.
Sundel R. Incomplete (atypical) Kawasaki disease. Klein-Gitelman. M, Kaplan S. L. & TePas E, eds. UpToDate. 2023 dez. Disponível em: https://www.uptodate.com/contents/incomplete-atypical-kawasaki-disease.
Sundel. R. Kawasaki disease: Clinical features and diagnosis. Klein-Gitelman. M, Kaplan S. L. & TePas E, eds. UpToDate. 2023 out. Disponível em: https://www.uptodate.com/contents/kawasaki-disease-clinical-features-and-diagnosis.
Khoury L, Livnat G, Hamad Saied M, Yaacoby-Bianu K. Pneumonia in the presentation of Kawasaki disease: The syndrome or a sequence of two diseases? Clin Case Rep. 2022 Dez 5;10(12):e6676. DOI: 10.1002/ccr3.6676.
Vieira Cavalcante MP. Doença de Kawasaki. In: Rabelo Júnior, C. R. Reumatologia pediátrica para o residente. Rio de Janeiro: Atheneu; 2020. p 201-10.
Benseler SM, McCrindle BW, Silverman ED, Tyrrell PN, Wong J, Yeung RS. Infections and Kawasaki disease: implications for coronary artery outcome. Pediatrics. 2005 dez.;116(6):e760-6. DOI: 10.1542/peds.2005-0559.
Lee MN, Cha JH, Ahn HM, Yoo JH, Kim HS, Sohn S, et al. Mycoplasma pneumoniae infection in patients with Kawasaki disease. Korean J Pediatr. 2011 mar.;54(3):123-7. DOI: 10.3345/kjp.2011.54.3.123.
Singh S, Gupta A, Jindal AK, Gupta A, Suri D, Vaidya PC, et al. Pulmonary presentation of Kawasaki disease—a diagnostic challenge. Pediatr Pulmonol. 2018;53:103-7. DOI:10.1002/ppul.23885.
Sonobe T, Kiyosawa N, Tsuchiya K, Aso S, Imada Y, Imai Y, et al. Prevalence of coronary artery abnormality in incomplete Kawasaki disease. Pediatr Int. 2007 ago;49(4):421-6. DOI: 10.1111/j.1442-200X.2007.02396.x.
McCrindle BW, Rowley AH, Newburger JW, Burns JC, Bolger AF, Gewitz M, et al. American Heart Association Rheumatic Fever, Endocarditis, and Kawasaki Disease Committee of the Council on Cardiovascular Disease in the Young; Council on Cardiovascular and Stroke Nursing; Council on Cardiovascular Surgery and Anesthesia; and Council on Epidemiology and Prevention. Diagnosis, Treatment, andLong-Term Management of Kawasaki Disease: A Scientific Statement for Health Professionals From the American Heart Association. Circulation. 2017 abr. 25;135(17):e927-e999. DOI: 10.1161/CIR.0000000000000484.
American Academy of Pediatrics. Kawasaki disease. In: Red Book: 2018 Report of the Committee on Infectious Diseases. 31st ed. Kimberlin DW, Brady MT, Jackson MA, Long SS (Eds), American Academy of Pediatrics; IL 2018.
Witt MT, Minich LL, Bohnsack JF, Young PC. Kawasaki disease: more patients are being diagnosed who do not meet American Heart Association criteria. Pediatrics. 1999 jul.;104(1):e10. DOI: 10.1542/peds.104.1.e10.
Machado de Oliveira K, de Araújo Pinheiro E, Dantas Lopes L, Idelfonso Lopes CB, Fernandes Bezerra Girão DK. Diabetes Tipo 1 e ansiedade na pediatria: uma revisão integrativa. Cadernos ESP [Internet]. 2023 dez. 28; [citado 2024-1-28];17(1):e1776. Disponível em: https://cadernos.esp.ce.gov.br/index.php/cadernos/article/view/1776.
Downloads
Published
Issue
Section
Categories
License
Copyright (c) 2024 Cadernos ESP

This work is licensed under a Creative Commons Attribution 4.0 International License.



















