You are here

Article Text

Article menu

Download PDFPDF

XML
Reminder of important clinical lesson
CASE REPORT
Giant coronary artery aneurysms in a 12-week-old infant with incomplete Kawasaki disease
  1. Lucy Guile1,2,
  2. Simon Parke3,
  3. Alison Kelly4,
  4. Robert Tulloh1,5
  1. 1 School of Clinical Sciences, University of Bristol, Bristol, UK
  2. 2 Department of Paediatric Surgery, Bristol Royal Hospital For Children, Bristol, UK
  3. 3 Department of Paediatrics, Royal Devon and Exeter NHS Foundation Trust, Exeter, UK
  4. 4 Department of Paediatric Rheumatology, Bristol Royal Hospital for Children, Bristol, UK
  5. 5 Department of Paediatric Cardiology, Bristol Royal Hospital For Children, Bristol, UK
  1. Correspondence to Dr Lucy Guile, lucyguile{at}doctors.org.uk

Summary

Kawasaki disease (KD) is an acute inflammatory vasculitis that occurs worldwide and disproportionately affects male children, most commonly between the ages of 6 months and 5 years. KD can present with only a few features and thus be difficult to diagnose, particularly in the youngest and oldest patients. We describe a 12-week-old Caucasian female infant who presented with rash and fever but no other features of KD, who developed giant coronary artery aneurysms. Considering how common is the presentation of a febrile infant with a rash, this case highlights the importance of considering KD early in the differential diagnosis for any infant with unexplained fever. Furthermore, it emphasises how echocardiography can help in the investigation of a febrile child with no clear source of infection.

  • paediatrics
  • vasculitis
  • cardiovascular medicine

This is an Open Access article distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/

https://doi.org/10.1136/bcr-2018-224479

Statistics from Altmetric.com

    Request Permissions

    If you wish to reuse any or all of this article please use the link below which will take you to the Copyright Clearance Center’s RightsLink service. You will be able to get a quick price and instant permission to reuse the content in many different ways.

    View Full Text

    Footnotes

    • Contributors LG wrote the initial draft. AK, SP and RT amended the draft and approved the final version. RT obtained the echocardiography images.

    • Funding The authors have not declared any specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

    • Competing interests None declared.

    • Patient consent Parental/guardian consent obtained.

    • Provenance and peer review Not commissioned; externally peer reviewed.