Infliximab Treatment for Pediatric Refractory Kawasaki Disease
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Kawasaki disease (KD) was diagnosed for a previously healthy 11-year-old boy after he presented with 5 days of fever, bilateral nonpurulent conjunctivitis, extremity edema, maculopapular rash, and oropharyngeal changes. The review of the boy’s systems was notable for the aforementioned symptoms as well as for headache, diffuse abdominal pain, nonbloody nonbilious emesis, and loose stools for 1 day. His medical history was noncontributory. He took no medications, had no allergies, and had up-to-date immunizations. His growth and development were normal, and his social and family history was noncontributory.
At his physical examination, the boy had a temperature of 37.3°C (39.3°C at the referring hospital), a heart rate of 136 beats per minute (bpm), a blood pressure of 103/49 mm Hg, a respiratory rate of 38 breaths per minute, and an oxygen saturation of 95% on room air. He weighed 58.1 kg (95%) and was 155 cm in height (95%).
The boy’s physical examination was remarkable for bilateral...
KeywordsInfliximab Left Anterior Descend Kawasaki Disease Abciximab Right Coronary Artery
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