A Four-Year-Old with History of Kawasaki Disease Presenting in Acute Shock. (23rd February 2021)

• Record Type: Journal Article
• Authors: Staats, Katherine; Tremoulet, Adriana H.; Harvey, Helen; Burns, Jane C.; Donofrio-Odmann, J. Joelle
• Is Part Of: Prehospital emergency care. Volume 25:Number 2(2021)
• Page Start: 281
• Page End: 288
• Publication Date: 2021-02-23
• Subjects: pediatric cardiac arrest -- pediatric chest pain -- Kawasaki disease -- coronary aneurysm -- Juvenile Idiopathic Arthritis -- chest pain; 362.18
• DOI: 10.1080/10903127.2020.1745339
• Languages: English
• ISSNs: 1090-3127

Abstract

Abstract: We present a case in which emergency medical services (EMS) intervened on a critically ill child with known giant coronary aneurysms as sequela to her severe complicated Kawasaki disease. This patient's severe shock ultimately ended in cardiac arrest and death. We discuss the keys to recognition, and critical importance to early intervention of pediatric shock in prehospital care. We also detail the cardiac ramifications of Kawasaki disease, steps for prompt identification of high risk complaints in these patients, and opportunities for treatment.