Skip to main content

Advertisement

SpringerLink
Log in

An Unusual Case of Incomplete Kawasaki Disease in an Adolescent Returning From Holiday in Montana

  • Case Report
  • Published:
Pediatric Cardiology Aims and scope Submit manuscript

Abstract

Here we present an unusual case of incomplete Kawasaki disease in a 15-year-old boy returning from a holiday with his family in Montana. His symptoms were initial diarrhoea and lethargy, with fever, rash, conjunctivitis, and arthralgia developing during the course of his illness. His condition worsened while he was at his local hospital, and he was transferred to the regional tertiary paediatric hospital. An initial echocardiogram was normal; however, repeat echocardiogram showed dilated coronary arteries with subsequent development of peeling of the skin on the hands and feet. The patient was started on intravenous immunoglobulin and high-dose aspirin and improved clinically. He was discharged home and remains under follow-up by the infectious diseases and cardiology teams.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Fig. 1

References

  1. Baumer JH (2005) Kawasaki disease: What to do with incomplete cases? Arch Dis Child Educ Pract 90(4):ep102–ep104

    Article  Google Scholar 

  2. Cai Z, Zuo R, Liu Y (2011) Characteristics of Kawasaki disease in older children. Clin Pediatr (Phila) 50(10):952–956

    Article  Google Scholar 

  3. Cimaz R, Sundel R (2009) Atypical and incomplete Kawasaki disease. Best Pract Res Clin Rheumatol 23(5):689–697

    Article  PubMed  CAS  Google Scholar 

  4. Gomard-Mennesson E, Landron C, Dauphin C, Epaulard O, Petit C, Green L et al (2010) Kawasaki disease in adults: Report of 10 cases. Medicine (Baltimore) 89(3):149–158

    Article  Google Scholar 

  5. Hirose K, Nakamura Y, Yanagawa H (1995) Cardiac sequelae of Kawasaki disease in Japan over 10 years. Acta Paediatr Jpn 37(6):667–671

    Article  PubMed  CAS  Google Scholar 

  6. Kato H, Sugimura T, Akagi T, Sato N, Hashino K, Maeno Y et al (1996) Long-term consequences of Kawasaki Disease: A 10- to 21-year follow-up study of 594 patients. Circulation 94(6):1379–1385

    Article  PubMed  CAS  Google Scholar 

  7. Perrin L, Letierce A, Guitton C, Tran TA, Lambert V, Kone-Paut I (2009) Comparative study of complete versus incomplete Kawasaki disease in 59 pediatric patients. Joint Bone Spine 76:481–485

    Article  PubMed  Google Scholar 

  8. Seve P, Stankovic K, Smail A, Durand DV, Marchand G, Broussolle C (2005) Adult Kawasaki disease: Report of two cases and literature review. Semin Arthritis Rheum 34(6):785–792

    Article  PubMed  Google Scholar 

  9. Terai M, Shulman ST (1997) Prevalence of coronary artery abnormalities in Kawasaki disease is highly dependent on gamma globulin dose but independent of salicylate dose. J Pediatr 131(6):888–893

    Article  PubMed  CAS  Google Scholar 

  10. Wood LE, Tulloh RM (2009) Kawasaki disease in children. Heart 95(10):787–792

    Article  PubMed  CAS  Google Scholar 

Download references

Acknowledgments

We thank Graham Derrick and Jan Marek, Department of Cardiology at Great Ormond Street Hospital for Children NHS Trust, for their assistance in the use of the echocardiogram images.

Author information

Authors and Affiliations

  1. Department of Paediatrics, Chase Farm Hospital, Barnet and Chase Farm Hospitals NHS Trust, London, England

    Catherine Hyams, Thomas G. Day, Sasha Howard & Paul de Keyser

  2. Department of Infectious Disease, Great Ormond Street Hospital for Children NHS Trust, London, England

    Shiva Ramroop & Surabhi Vora

  3. Department of Medical Microbiology, Chase Farm Hospital, Barnet and Chase Farm Hospitals NHS Trust, London, England

    Stephanie Paget

  4. Institute of Child Health, University College London, London, England

    Thomas G. Day & Merlin McMillan

Authors
  1. Catherine Hyams
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Thomas G. Day
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. Shiva Ramroop
    View author publications

    You can also search for this author in PubMed Google Scholar

  4. Stephanie Paget
    View author publications

    You can also search for this author in PubMed Google Scholar

  5. Sasha Howard
    View author publications

    You can also search for this author in PubMed Google Scholar

  6. Merlin McMillan
    View author publications

    You can also search for this author in PubMed Google Scholar

  7. Surabhi Vora
    View author publications

    You can also search for this author in PubMed Google Scholar

  8. Paul de Keyser
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to Thomas G. Day.

Additional information

Dr Hyams and Dr Day are joint first authors of this paper.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Hyams, C., Day, T.G., Ramroop, S. et al. An Unusual Case of Incomplete Kawasaki Disease in an Adolescent Returning From Holiday in Montana. Pediatr Cardiol 33, 1196–1199 (2012). https://doi.org/10.1007/s00246-012-0246-3

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s00246-012-0246-3

Keywords

Search

Navigation