PMID- 29531383
OWN - NLM
STAT- MEDLINE
DCOM- 20180605
LR  - 20180605
IS  - 1827-6806 (Print)
IS  - 1827-6806 (Linking)
VI  - 19
IP  - 2
DP  - 2018 Feb
TI  - [Kawasaki disease shock syndrome: a case report].
PG  - 111-114
LID - 10.1714/2868.28942 [doi]
AB  - Kawasaki disease is a systemic vasculitis that presents with stable vital signs. 
      Although it is well known that Kawasaki disease can cause myocarditis, 
      tachycardia and heart failure during the acute stage, Kawasaki disease shock 
      syndrome (KDSS) has recently been described. It is characterized by hypotension, 
      signs and symptoms of poor perfusion and a shock-like state. We report the case 
      of a 7-year-old boy with KDSS who presented with persistent fever, conjunctival 
      injection, laterocervical lymphadenitis, and echocardiography showing signs of 
      myocardial dysfunction and shock. The patient's hemodynamic status markedly 
      improved with immunoglobulin therapy. Early recognition of KDSS can be 
      challenging; however, delay in diagnosis may increase the risk of coronary artery 
      abnormalities and death.
FAU - Vieni, Giuseppe
AU  - Vieni G
AD  - U.O.C. Pediatria e Neonatologia, Ospedale S. Maria delle Croci, AUSL Romagna, 
      Ravenna.
FAU - Pusceddu, Sara
AU  - Pusceddu S
AD  - U.O.C. Pediatria e Neonatologia, Ospedale S. Maria delle Croci, AUSL Romagna, 
      Ravenna.
FAU - Bruno, Ivana
AU  - Bruno I
AD  - U.O.C. Pediatria e Neonatologia, Ospedale S. Maria delle Croci, AUSL Romagna, 
      Ravenna.
FAU - Ragni, Luca
AU  - Ragni L
AD  - U.O. Cardiologia Pediatrica e dell'Eta Evolutiva, Policlinico S. Orsola, Bologna.
FAU - Marchetti, Federico
AU  - Marchetti F
AD  - U.O.C. Pediatria e Neonatologia, Ospedale S. Maria delle Croci, AUSL Romagna, 
      Ravenna.
LA  - ita
PT  - Case Reports
PT  - Journal Article
TT  - La "Kawasaki disease shock syndrome": descrizione di un caso clinico.
PL  - Italy
TA  - G Ital Cardiol (Rome)
JT  - Giornale italiano di cardiologia (2006)
JID - 101263411
RN  - 0 (Immunoglobulins, Intravenous)
SB  - IM
MH  - Child
MH  - Hemodynamics
MH  - Humans
MH  - Immunoglobulins, Intravenous/*therapeutic use
MH  - Male
MH  - Mucocutaneous Lymph Node Syndrome/*diagnosis/drug therapy/physiopathology
MH  - Shock/*diagnosis/drug therapy/physiopathology
MH  - Treatment Outcome
EDAT- 2018/03/14 06:00
MHDA- 2018/06/06 06:00
CRDT- 2018/03/14 06:00
PHST- 2018/03/14 06:00 [entrez]
PHST- 2018/03/14 06:00 [pubmed]
PHST- 2018/06/06 06:00 [medline]
AID - 10.1714/2868.28942 [doi]
PST - ppublish
SO  - G Ital Cardiol (Rome). 2018 Feb;19(2):111-114. doi: 10.1714/2868.28942.