Giant coronary artery aneurysms in a 12-week-old infant with incomplete Kawasaki disease. (28th March 2018)

• Record Type: Journal Article
• Authors: Guile, Lucy; Parke, Simon; Kelly, Alison; Tulloh, Robert
• Is Part Of: BMJ case reports. Volume 2018
• Publication Date: 2018-03-28
• Subjects: paediatrics -- vasculitis -- cardiovascular medicine; Medicine -- Case studies -- Periodicals; 610.5
• DOI: 10.1136/bcr-2018-224479
• Languages: English
• ISSNs: 1757-790X

Abstract

Abstract : Kawasaki disease (KD) is an acute inflammatory vasculitis that occurs worldwide and disproportionately affects male children, most commonly between the ages of 6 months and 5 years. KD can present with only a few features and thus be difficult to diagnose, particularly in the youngest and oldest patients. We describe a 12-week-old Caucasian female infant who presented with rash and fever but no other features of KD, who developed giant coronary artery aneurysms. Considering how common is the presentation of a febrile infant with a rash, this case highlights the importance of considering KD early in the differential diagnosis for any infant with unexplained fever. Furthermore, it emphasises how echocardiography can help in the investigation of a febrile child with no clear source of infection.