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Published in: BMC Pediatrics 1/2019

Open Access 01-12-2019 | Shock | Case report

Kawasaki shock syndrome in an Arab female: case report of a rare manifestation and review of literature

Authors: Ahmed A. Nugud, Assmaa Nugud, Deena Wafadari, Walid Abuhammour

Published in: BMC Pediatrics | Issue 1/2019

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Abstract

Background

Kawasaki disease shock syndrome is a relatively new and rare complication of Kawasaki disease first described in 2009.

Case presentation

This report describes a two-year-old Arab descent female presenting with a history of high-grade fever of 2 days duration with non-specific signs of viral illness and erythematous rash. The patients’ condition deteriorated rapidly requiring admission to intensive care unit. In the intensive care unit, she developed a right upper quadrant mass that was diagnosed as hydrops of the gallbladder by ultrasonography. After one dose of intravenous immunoglobulin, the patient started to recover and was transferred out of intensive care after 2 days.

Conclusion

Among the complications of Kawasaki disease, shock syndrome is rare and usually will have deleterious results if not diagnosed and managed promptly.
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Literature
1.
go back to reference Kawasaki T. Pediatric acute febrile mucocutaneous lymph node syndrome with characteristic desquamation of fingers and toes: my clinical observation of fifty cases. Pediatr Infect Dis J. 2002;21(11):1–38. Kawasaki T. Pediatric acute febrile mucocutaneous lymph node syndrome with characteristic desquamation of fingers and toes: my clinical observation of fifty cases. Pediatr Infect Dis J. 2002;21(11):1–38.
2.
go back to reference Mandai S, Pande A, Mandai D, Sarkar A, Kahali D, Panja M. Various coronary artery complications of Kawasaki disease: series of 5 cases and review of literature. Journal of Cardiovascular Disease Research. 2012;3(3):231–5.CrossRef Mandai S, Pande A, Mandai D, Sarkar A, Kahali D, Panja M. Various coronary artery complications of Kawasaki disease: series of 5 cases and review of literature. Journal of Cardiovascular Disease Research. 2012;3(3):231–5.CrossRef
3.
go back to reference Chen P, Chi H, Huang F, Peng C, Chen M, Chiu N. Clinical manifestations of Kawasaki disease shock syndrome: a case–control study. J Microbiol Immunol Infect. 2015;48(1):43–50.CrossRef Chen P, Chi H, Huang F, Peng C, Chen M, Chiu N. Clinical manifestations of Kawasaki disease shock syndrome: a case–control study. J Microbiol Immunol Infect. 2015;48(1):43–50.CrossRef
4.
go back to reference Takahashi K, Oharaseki T, Yokouchi Y. Pathogenesis of Kawasaki disease. Clin Exp Immunol. 2011;164:20–2.CrossRef Takahashi K, Oharaseki T, Yokouchi Y. Pathogenesis of Kawasaki disease. Clin Exp Immunol. 2011;164:20–2.CrossRef
5.
go back to reference Kanegaye J, Wilder M, Molkara D, Frazer J, Pancheri J, Tremoulet A, et al. Recognition of a Kawasaki disease shock syndrome. PEDIATRICS. 2009;123(5):e783–9.CrossRef Kanegaye J, Wilder M, Molkara D, Frazer J, Pancheri J, Tremoulet A, et al. Recognition of a Kawasaki disease shock syndrome. PEDIATRICS. 2009;123(5):e783–9.CrossRef
6.
go back to reference Nagata S, Yamashiro Y, Ohtsuka Y, Shimizu T, Sakurai Y, Misawa S, et al. Heat shock proteins and superantigenic properties of bacteria from the gastrointestinal tract of patients with Kawasaki disease. Immunology. 2009;128(4):511–20.CrossRef Nagata S, Yamashiro Y, Ohtsuka Y, Shimizu T, Sakurai Y, Misawa S, et al. Heat shock proteins and superantigenic properties of bacteria from the gastrointestinal tract of patients with Kawasaki disease. Immunology. 2009;128(4):511–20.CrossRef
7.
go back to reference Shimada S, Watanabe T, Sato S. A patient with Kawasaki disease following influenza vaccinations. Pediatr Infect Dis J. 2015;34(8):913.CrossRef Shimada S, Watanabe T, Sato S. A patient with Kawasaki disease following influenza vaccinations. Pediatr Infect Dis J. 2015;34(8):913.CrossRef
8.
go back to reference Gamez-Gonzalez L, Moribe-Quintero I, Cisneros-Castolo M, Varela-Ortiz J, Muñoz-Ramírez M, Garrido-García M, Yamazaki-Nakashimada M. Kawasaki disease shock syndrome: unique and severe subtype of Kawasaki disease. Pediatr Int. 2018;60(9):781–90.CrossRef Gamez-Gonzalez L, Moribe-Quintero I, Cisneros-Castolo M, Varela-Ortiz J, Muñoz-Ramírez M, Garrido-García M, Yamazaki-Nakashimada M. Kawasaki disease shock syndrome: unique and severe subtype of Kawasaki disease. Pediatr Int. 2018;60(9):781–90.CrossRef
9.
go back to reference Gámez-González L, Murata C, Muñoz-Ramírez M, Yamazaki-Nakashimada M. Clinical manifestations associated with Kawasaki disease shock syndrome in Mexican children. Eur J Pediatr. 2012;172(3):337–42.CrossRef Gámez-González L, Murata C, Muñoz-Ramírez M, Yamazaki-Nakashimada M. Clinical manifestations associated with Kawasaki disease shock syndrome in Mexican children. Eur J Pediatr. 2012;172(3):337–42.CrossRef
10.
go back to reference Dominguez S, Friedman K, Seewald R, Anderson M, Willis L, Glode M. Kawasaki disease in a pediatric intensive care unit: a case-control study. PEDIATRICS. 2008;122(4):e786–90.CrossRef Dominguez S, Friedman K, Seewald R, Anderson M, Willis L, Glode M. Kawasaki disease in a pediatric intensive care unit: a case-control study. PEDIATRICS. 2008;122(4):e786–90.CrossRef
11.
go back to reference Gatterre P, Oualha M, Dupic L, Iserin F, Bodemer C, Lesage F, et al. Kawasaki disease: an unexpected etiology of shock and multiple organ dysfunction syndrome. Intensive Care Med. 2012;38(5):872–8.CrossRef Gatterre P, Oualha M, Dupic L, Iserin F, Bodemer C, Lesage F, et al. Kawasaki disease: an unexpected etiology of shock and multiple organ dysfunction syndrome. Intensive Care Med. 2012;38(5):872–8.CrossRef
12.
go back to reference Park S, Pai K, Kim J, Shin J. What dose of intravenous immunoglobulin should be administered in Kawasaki disease with suspected systemic capillary leak syndrome? Eur J Pediatr. 2011;171(1):203–4.CrossRef Park S, Pai K, Kim J, Shin J. What dose of intravenous immunoglobulin should be administered in Kawasaki disease with suspected systemic capillary leak syndrome? Eur J Pediatr. 2011;171(1):203–4.CrossRef
13.
go back to reference Ma L, Zhang Y, Yu H. Clinical manifestations of Kawasaki disease shock syndrome. Clin Pediatr. 2017;57(4):428–35.CrossRef Ma L, Zhang Y, Yu H. Clinical manifestations of Kawasaki disease shock syndrome. Clin Pediatr. 2017;57(4):428–35.CrossRef
14.
go back to reference Lin M, Wu M. The global epidemiology of Kawasaki disease: review and future perspectives. Global Cardiology Science And Practice. 2018;2017(3):1-6. Lin M, Wu M. The global epidemiology of Kawasaki disease: review and future perspectives. Global Cardiology Science And Practice. 2018;2017(3):1-6.
15.
go back to reference Saviour M, Hassan S. Kawasaki disease presenting with bloody diarrhea and acute renal failure: first case. Pediatric Reports. 2017;9(2):29-32. Saviour M, Hassan S. Kawasaki disease presenting with bloody diarrhea and acute renal failure: first case. Pediatric Reports. 2017;9(2):29-32.
Metadata
Title
Kawasaki shock syndrome in an Arab female: case report of a rare manifestation and review of literature
Authors
Ahmed A. Nugud
Assmaa Nugud
Deena Wafadari
Walid Abuhammour
Publication date
01-12-2019
Publisher
BioMed Central
Published in
BMC Pediatrics / Issue 1/2019
Electronic ISSN: 1471-2431
DOI
https://doi.org/10.1186/s12887-019-1662-9

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