The Indian Journal of Pediatrics

, Volume 79, Issue 6, pp 813–814

Symptomatic Myocarditis in Kawasaki Disease

  • Pooja Aggarwal
  • Deepti Suri
  • Nidhi Narula
  • Rohit Manojkumar
  • Surjit Singh
Clinical Brief

Abstract

Kawasaki disease (KD) is an acute febrile illness of infants and young children that is characterized by a medium vessel vasculitis, most commonly involving the coronary arteries. Though subclinical myocarditis is rather common in KD, symptomatic congestive heart failure is extremely uncommon. The authors report a 9-y-old boy who developed heart failure (ejection fraction 28%) in the acute phase of KD. He was initially treated with intravenous immunoglobulin (2 g/kg) without much clinical improvement. He was then given 5 daily pulses of intravenous methylprednisolone followed by tapering doses of oral prednisolone. The child showed prompt clinical recovery and remains well on follow-up. The present case serves to highlight the fact that methylprednisolone can be considered upfront as rescue therapy in children with KD who have symptomatic congestive cardiac failure during the acute stage of the disease.

Keywords

Kawasaki disease Congestive heart failure North India Methylprednisolone 

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Copyright information

© Dr. K C Chaudhuri Foundation 2011

Authors and Affiliations

  • Pooja Aggarwal
    • 1
  • Deepti Suri
    • 1
  • Nidhi Narula
    • 2
  • Rohit Manojkumar
    • 2
  • Surjit Singh
    • 1
  1. 1.Division of Allergy Immunology, Department of Pediatrics, Advanced Pediatrics CenterPost Graduate Institute of Medical Education and ResearchChandigarhIndia
  2. 2.Department of CardiologyPost Graduate Institute of Medical Education and ResearchChandigarhIndia

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