PMID- 34262809
OWN - NLM
STAT- PubMed-not-MEDLINE
LR  - 20231107
IS  - 2168-8184 (Print)
IS  - 2168-8184 (Electronic)
IS  - 2168-8184 (Linking)
VI  - 13
IP  - 6
DP  - 2021 Jun
TI  - Kawasaki Disease Shock Syndrome: A Nine-Year-Old Girl With Atypical Presentation 
      of Kawasaki Disease in Emergency Department.
PG  - e15471
LID - 10.7759/cureus.15471 [doi]
LID - e15471
AB  - Kawasaki disease (KD) is an acute rheumatological illness usually affecting 
      children between six months and five years of age. It is a vasculitis syndrome of 
      medium-sized vessels that has typical clinical characteristics such as fever, 
      rash, cervical lymphadenopathy, conjunctivitis, and mucosal changes. However, 
      sometimes, it may present with the features of shock when it is known as Kawasaki 
      disease shock syndrome (KDSS). The actual etiology of this disease is still 
      unknown. The primary treatment of this disease is aspirin and intravenous 
      immunoglobulin (IVIG). The most common and serious complication of KD is cardiac 
      complications which can be avoided by IVIG if given on time. KDSS is the other 
      rare but serious early complication that can be presented to the ED as an initial 
      presenting feature. Early diagnosis of KDSS in the ED and its treatment is very 
      important to prevent early and late complications, including cardiac 
      complications of this disease. Although the usual age group for this disease is 
      under five years, here we have presented a rare case of KDSS in a nine-year-old 
      female child.
CI  - Copyright (c) 2021, Shah et al.
FAU - Shah, Sunil
AU  - Shah S
AD  - Medicine, California Institute of Behavioral Neurosciences & Psychology, 
      Fairfield, USA.
AD  - Medicine, Ministry of Health, Male, MDV.
FAU - Karki, Divya
AU  - Karki D
AD  - Pediatrics, Ministry of Health, Male, MDV.
FAU - Gami, Sumit
AU  - Gami S
AD  - Medicine, Universal College of Medical Sciences, Bhairahawa, NPL.
AD  - Internal Medicine, Nidan Hospital, Lalitpur, NPL.
FAU - Panth, Himal
AU  - Panth H
AD  - Medicine, Universal College of Medical Sciences, Bhairahawa, NPL.
FAU - Neupane, Nischal
AU  - Neupane N
AD  - Pediatrics, Ministry of Health, Male, MDV.
LA  - eng
PT  - Case Reports
DEP - 20210605
PL  - United States
TA  - Cureus
JT  - Cureus
JID - 101596737
PMC - PMC8260190
OTO - NOTNLM
OT  - kawasaki disease
OT  - kawasaki disease shock syndrome
OT  - shock
OT  - systemic inflammation
OT  - vasculitis
COIS- The authors have declared that no competing interests exist.
EDAT- 2021/07/16 06:00
MHDA- 2021/07/16 06:01
PMCR- 2021/06/05
CRDT- 2021/07/15 06:22
PHST- 2021/06/05 00:00 [accepted]
PHST- 2021/07/15 06:22 [entrez]
PHST- 2021/07/16 06:00 [pubmed]
PHST- 2021/07/16 06:01 [medline]
PHST- 2021/06/05 00:00 [pmc-release]
AID - 10.7759/cureus.15471 [doi]
PST - epublish
SO  - Cureus. 2021 Jun 5;13(6):e15471. doi: 10.7759/cureus.15471. eCollection 2021 Jun.