Abstract
KAWASAKI DISEASE: A PAEDIATRIC CASE REPORT IN A TERTIARY CARE HOSPITAL IN SOUTHERN INDIA

Midhuna P. Sunil*, Salu Sasi, Jayasree J. and Fathima M.

ABSTRACT

Kawasaki disease (KD) is an acute systemic vasculitis of unknown aetiology that has largely replaced rheumatic heart disease as a cause of acquired heart disease in children of many developed countries. We report a case of incomplete KD in a two and half-year-old boy.[1] The diagnosis of incomplete KD was made with the clinical presentations such as high-grade fever for 6 days irritable with stomatitis and excoriation of lips, cervical lymphadenopathy. During the hospital stay he experienced one episode of skin peeling of fingers and toes. He was treated with intravenous immunoglobulin, antibiotics and aspirin following which he made a fast improvement and discharged after 8 days of hospital stay. The patient’s condition had improved and there were no new concerns when the review was done two weeks later. It is important for all the health care practitioners having knowledge about the incomplete KD for rapid diagnosis and prompt treatment of these patients with intravenous immunoglobulin is crucial for the prevention of lethal coronary complications.[2]

Keywords: Kawasaki disease (KD), Stomatitis, Excoriation of lips, Cervical lymphadenopathy, Skin peeling.


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