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Published in: Italian Journal of Pediatrics 1/2023

Open Access 01-12-2023 | Kawasaki Disease | Case report

Very early onset of coronary artery aneurysm in a 3-month infant with Kawasaki disease: a case report and literature review

Authors: Wenyan Jiao, Li Wei, Fuyong Jiao, Dorina Pjetraj, Jianying Feng, Jvyan Wang, Carlo Catassi, Simona Gatti

Published in: Italian Journal of Pediatrics | Issue 1/2023

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Abstract

Background

Kawasaki disease (KD) is a medium vessel vasculitis, of unknown etiology, typically presenting in children younger than 5 years of age. Prolonged fever (at least five days) is a major clinical criterion of KD, while cardiac involvement may occur in up to 25% of patients, generally in the second week of the disease.

Case presentation

We describe the case of KD developing in a 3-month infant, with an early occurrence of coronary artery aneurysm after only 3 days of fever, complicated by thrombosis, requiring aggressive treatments.

Conclusions

Time of development of cardiac complications can be different in young infants with KD and both diagnostic criteria and treatment indications should be individualized in this class of age.
Literature
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go back to reference Park YW, Han JW, Park IS, et al. Epidemiologic study of Kawasaki disease in 6 months old and younger 11infants [Article in Korean]. Korean J Pediatr. 2008;51:1320–3.CrossRef Park YW, Han JW, Park IS, et al. Epidemiologic study of Kawasaki disease in 6 months old and younger 11infants [Article in Korean]. Korean J Pediatr. 2008;51:1320–3.CrossRef
Metadata
Title
Very early onset of coronary artery aneurysm in a 3-month infant with Kawasaki disease: a case report and literature review
Authors
Wenyan Jiao
Li Wei
Fuyong Jiao
Dorina Pjetraj
Jianying Feng
Jvyan Wang
Carlo Catassi
Simona Gatti
Publication date
01-12-2023
Publisher
BioMed Central
Published in
Italian Journal of Pediatrics / Issue 1/2023
Electronic ISSN: 1824-7288
DOI
https://doi.org/10.1186/s13052-023-01478-9

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