Open AccessCLINICAL CASE OF INCOMPLETE KAWASAKI DISEASE
Author(s) -
S. Ya. Volgina,
Ayrat V. Zaynutdinov,
Artem D. Shurygin,
Г. А. Кулакова,
N. A. Solovyeva,
Е. А. Курмаева
Publication year - 2020
Publication title -
rossijskij pediatričeskij žurnal
Language(s) - English
Resource type - Journals
eISSN - 2413-2918
pISSN - 1560-9561
DOI - 10.18821/1560-9561-2019-22-1-62-65
Subject(s) - kawasaki disease , medicine , etiology , disease , pathological , vasculitis , intensive care medicine , pediatrics , myocarditis , surgery , pathology , cardiology , artery
Kawasaki disease (KD) is one of the most common vasculitis occurring in children under 5 years, difficult to diagnose due to the presence of a wide range of nonspecific manifestations. It is especially difficult to diagnose an incomplete KD, as it has less pronounced symptoms, is more common in children under 4 year and poses a threat of developing dangerous cardiovascular complications. Unexplained long-term fever in infants may be the only manifestation of the acute stage of the disease, while the cardiovascular system is often involved in the pathological process later (in the second week of the disease) and often remains undiagnosed. This article presents the result of own clinical observation of a child of 3 months with incomplete KD. The importance of timely echocardiography of coronary vessels in children with the debut of long-term fever of unclear etiology is emphasized. It should be remembered that a timely diagnosis allows you to prescribe adequate therapy and prevent the development of serious complications.