Kawasaki disease : always straight to the heart?
(2012) In BMJ Case Reports 2012.- Abstract
Kawasaki disease is an important differential diagnosis when evaluating prolonged fever in childhood. Although the aetiology of this vasculitic disease process remains obscure, prompt recognition and treatment significantly reduces vascular complications such as coronary artery aneurysms. Patients presenting with atypical or incomplete diagnostic features remain a challenge. Here the authors describe the atypical features of Kawasaki disease that led to profound acute hearing loss in a 6-year-old boy with complex congenital heart disease. Coronary changes were not seen on early follow-up, but the patient required bilateral hearing aids. Considering Kawasaki disease early, even in the possibly confusing context of complex congenital... (More)
Kawasaki disease is an important differential diagnosis when evaluating prolonged fever in childhood. Although the aetiology of this vasculitic disease process remains obscure, prompt recognition and treatment significantly reduces vascular complications such as coronary artery aneurysms. Patients presenting with atypical or incomplete diagnostic features remain a challenge. Here the authors describe the atypical features of Kawasaki disease that led to profound acute hearing loss in a 6-year-old boy with complex congenital heart disease. Coronary changes were not seen on early follow-up, but the patient required bilateral hearing aids. Considering Kawasaki disease early, even in the possibly confusing context of complex congenital heart disease and atypical symptomatology, is crucial to avoid long-term sequelae.
(Less)
- author
- Clausen, Henning
LU
; Howarth, Claire and Giardini, Alessandro
- publishing date
- 2012-08-24
- type
- Contribution to journal
- publication status
- published
- keywords
- Anti-Inflammatory Agents, Non-Steroidal/therapeutic use, Antibodies, Monoclonal/therapeutic use, Child, Hearing Loss, Sensorineural/etiology, Heart Diseases/complications, Humans, Immunoglobulins, Intravenous/therapeutic use, Immunologic Factors/therapeutic use, Infliximab, Male, Methylprednisolone/therapeutic use, Mucocutaneous Lymph Node Syndrome/complications
- in
- BMJ Case Reports
- volume
- 2012
- publisher
- BMJ Publishing Group
- external identifiers
-
- pmid:22922920
- scopus:84865682912
- ISSN
- 1757-790X
- DOI
- 10.1136/bcr-2012-006505
- language
- English
- LU publication?
- no
- id
- dedfff2d-cf8a-4a05-83b8-6686373214a0
- date added to LUP
- 2025-03-25 10:56:37
- date last changed
- 2025-06-04 07:30:46
@article{dedfff2d-cf8a-4a05-83b8-6686373214a0, abstract = {{<p>Kawasaki disease is an important differential diagnosis when evaluating prolonged fever in childhood. Although the aetiology of this vasculitic disease process remains obscure, prompt recognition and treatment significantly reduces vascular complications such as coronary artery aneurysms. Patients presenting with atypical or incomplete diagnostic features remain a challenge. Here the authors describe the atypical features of Kawasaki disease that led to profound acute hearing loss in a 6-year-old boy with complex congenital heart disease. Coronary changes were not seen on early follow-up, but the patient required bilateral hearing aids. Considering Kawasaki disease early, even in the possibly confusing context of complex congenital heart disease and atypical symptomatology, is crucial to avoid long-term sequelae.</p>}}, author = {{Clausen, Henning and Howarth, Claire and Giardini, Alessandro}}, issn = {{1757-790X}}, keywords = {{Anti-Inflammatory Agents, Non-Steroidal/therapeutic use; Antibodies, Monoclonal/therapeutic use; Child; Hearing Loss, Sensorineural/etiology; Heart Diseases/complications; Humans; Immunoglobulins, Intravenous/therapeutic use; Immunologic Factors/therapeutic use; Infliximab; Male; Methylprednisolone/therapeutic use; Mucocutaneous Lymph Node Syndrome/complications}}, language = {{eng}}, month = {{08}}, publisher = {{BMJ Publishing Group}}, series = {{BMJ Case Reports}}, title = {{Kawasaki disease : always straight to the heart?}}, url = {{http://dx.doi.org/10.1136/bcr-2012-006505}}, doi = {{10.1136/bcr-2012-006505}}, volume = {{2012}}, year = {{2012}}, }