Pediatric Cardiology

, Volume 31, Issue 8, pp 1232–1235

Coronary Artery Dilatation in Toxic Shock-Like Syndrome: The Kawasaki Disease Shock Syndrome

  • Deane Yim
  • James Ramsay
  • Darshan Kothari
  • David Burgner
Case Report

DOI: 10.1007/s00246-010-9771-0

Cite this article as:
Yim, D., Ramsay, J., Kothari, D. et al. Pediatr Cardiol (2010) 31: 1232. doi:10.1007/s00246-010-9771-0

Abstract

Kawasaki disease is a common systemic vasculitis of childhood that may result in life-threatening coronary artery abnormalities. Despite an overlap of clinical features with toxic shock syndrome, children with Kawasaki disease generally do not develop shock. We report two cases of older children who presented with a toxic shock-like illness, and were diagnosed with Kawasaki disease when coronary artery abnormalities were found on echocardiography, in keeping with the recently described ‘Kawasaki disease shock syndrome’. Clinicians should consider Kawasaki disease in all children presenting with toxic shock and assess for coronary artery damage.

Keywords

Kawasaki disease Toxic shock  Coronary artery dilatation Kawasaki disease shock syndrome 

Copyright information

© Springer Science+Business Media, LLC 2010

Authors and Affiliations

  • Deane Yim
    • 1
  • James Ramsay
    • 1
  • Darshan Kothari
    • 1
  • David Burgner
    • 2
    • 3
  1. 1.Children’s Cardiac Centre, Princess Margaret Hospital for ChildrenPerthAustralia
  2. 2.School of Paediatrics and Child HealthUniversity of Western AustraliaPerthAustralia
  3. 3.Murdoch Childrens Research Institute, Royal Children’s HospitalParkvilleAustralia

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