scholarly journals A case report: incomplete Kawasaki disease in a hypogammaglobulinemic child

2018 ◽  
Vol 116 (2) ◽  
Author(s):  
Sumantra Raut ◽  
Satyabrata Roychowdhoury ◽  
Subhajit Bhakta ◽  
Mihir Sarkar ◽  
Mousumi Nandi

ABSTRACT Background Recently a severe form of COVID-19 infection has been described in a cluster of children presenting as multisystem inflammatory condition. One of the important spectrum of this condition is incomplete Kawasaki disease (KD). Case report A 5-month-old male child presented with high-spiking fever for 5 days with skin rash, bilateral non-purulent conjunctivitis and irritability. His C-reactive protein was markedly elevated (215.4 mg/l). Echocardiography revealed dilated left main coronary artery (3.0 mm, Z score +4.30) and left anterior descending artery (2.37 mm, Z score +3.76). Concomitantly Reverse Transcription- Polymerase Chain Reaction for COVID-19 was positive on fifth day sample. He was diagnosed as incomplete KD with COVID-19 infection and treated with intravenous immunoglobulin (IVIG) (2 g/kg), oral aspirin and azithromycin. Patient improved after 48 h and was discharged on oral aspirin. Conclusion Incomplete KD may co-exist with COVID-19 infection in infant. Early institution of IVIG may lead to better outcome.


2020 ◽  
Vol 8 (21) ◽  
pp. 5457-5466
Author(s):  
Tao Wang ◽  
Chuan Wang ◽  
Kai-Yu Zhou ◽  
Xiao-Qin Wang ◽  
Na Hu ◽  
...  

2021 ◽  
Vol 2 (2) ◽  
pp. 56-59
Author(s):  
Muzaffer ALTINTAŞ ◽  
Engin YURDAKUL ◽  
Feyza Ayşenur PAÇ ◽  
Meltem REFİKER EGE

Incomplete Kawasaki Disease Probable Associated with COVID-19: A Case Report Kawasaki disease is an acute systemic inflammatory disease affecting the medium and small vessels mostly in children under 5 years old. Although SARS-CoV2 less severely affects children, with the rapid spread of disease some new clinical aspects like Kawasaki-like disease have been reported in children affected by COVID-19. Here in we present a child with incomplete Kawasaki disease probably associated with COVID-19. Keywords: Kawasaki-like disease, incomplete Kawasaki, SARS-CoV2, COVID-19


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