Sudden death in an infant revealing atypical Kawasaki disease.

Abstract:

:We present a case of a 4-month-old girl referred to the emergency department with a provisional diagnosis of acute life-threatening event with a recent episode of heart block and a history of long-lasting fever. Soon after admission, the child suddenly deteriorated rapidly; she became pulseless with complete heart block and died despite intensive resuscitation efforts. Postmortem examination showed coronary arteritis with aneurysmal dilatation and coronary thrombosis, revealing atypical Kawasaki disease. With this case presentation, we discuss the importance of early recognition and treatment of atypical and/or incomplete forms of Kawasaki disease, which are most common in young infants and may lead, if untreated, to coronary artery abnormalities with a potential for myocardial infarctions, aneurysm formation, and sudden death. In addition, the relevance of postmortem examination in a case of sudden and undiagnosed infant death is underlined.

journal_name

Pediatr Emerg Care

journal_title

Pediatric emergency care

authors

Diana MC,Villa G,Gattorno M,Ottonello G,Costabel S,Savioli C,DiPietro P

doi

10.1097/01.pec.0000195757.74328.68

subject

Has Abstract

pub_date

2006-01-01 00:00:00

pages

35-7

issue

1

eissn

0749-5161

issn

1535-1815

pii

00006565-200601000-00007

journal_volume

22

pub_type

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