Open AccessA case of Kawasaki disease with anasarca and concomitant rotavirus infection
Author(s) -
Enza D’Auria,
Filippo Salvini,
Antonia Ruscitto,
Ilaria Neri,
Patrizia Ballista,
Carlo Agostoni,
Enrica Riva
Publication year - 2009
Publication title -
bmj case reports
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.231
H-Index - 26
ISSN - 1757-790X
DOI - 10.1136/bcr.10.2008.1092
Subject(s) - anasarca , medicine , kawasaki disease , pericardial effusion , coronary artery aneurysm , coronary artery disease , myocarditis , cardiology , right coronary artery , concomitant , artery , myocardial infarction , coronary angiography
We present the case of a child who initially presented with gastrointestinal symptoms suggestive of severe rotavirus gastroenteritis complicated by hyponatraemic dehydration. Appropriate intravenous fluid therapy was administered but the patient, still feverish, developed anasarca probably due to hyperpermeability of microvessels following massive inflammation. Atypical Kawasaki disease was diagnosed on the basis of the clinical findings and laboratory tests. An echocardiogram performed on the 14th day showed a coronary artery aneurysm of the right coronary artery and a generalised dilation of left coronary artery without pericardial effusion. Anasarca in Kawasaki disease has never been reported before in the literature. A rotavirus infection probably triggered the severe and atypical signs in the case reported here.