Pediatric Cardiology

, Volume 27, Issue 4, pp 515–518 | Cite as

Widened Coronary Arteries in a Feverish Child

  • H. Rogier van Doorn
  • Shirley M. Lo-A-Njoe
  • Jaap Ottenkamp
  • Dasja Pajkrt


A 3-year-old girl with fever of unknown origin after a visit to Surinam was seen at our hospital. Signs and symptoms were indicative of either Kawasaki syndrome or an acute viral or (atypical) bacterial illness. No cardiac abnormalities were noted at echocardiography. She was treated with intravenous immunoglobulin and clarithromycin and made a quick recovery. Serologically, the diagnosis of murine typhus was made; a flea-borne rickettsiosis caused by Rickettsia typhi. A follow-up echocardiography 1 week later showed a dilated left coronary artery, which was normal again 4 weeks later. We suggest that this phenomenon was a manifestation of rickettsial vasculitis.


Infectious diseases Kawasaki syndrome Rickettsiae Murine typhus 



Wim van Est is gratefully acknowledged for excellent technical assistance.


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Copyright information

© Springer Science+Business Media, Inc. 2006

Authors and Affiliations

  • H. Rogier van Doorn
    • 1
  • Shirley M. Lo-A-Njoe
    • 2
  • Jaap Ottenkamp
    • 2
  • Dasja Pajkrt
    • 2
  1. 1.Department of Medical Microbiology, Academic Medical CenterUniversity of AmsterdamAmsterdamThe Netherlands
  2. 2.Academic Medical CenterEmma Children’s Hospital, University of AmsterdamAmsterdamThe Netherlands

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