Article Text

Reminder of important clinical lesson
Marked coronary artery dilation in a young adult requiring extracorporeal membrane oxygenation support for adult respiratory distress syndrome due to Kawasaki disease
  1. Abdul Rasheed1,
  2. Ranjith Leanage1,
  3. Richard K Firmin2
  1. 1Glenfield Hospital, Paediatric Cardiology, Groby Road, Leicester, LE3 9QP, UK
  2. 2Glenfield Hospital, Cardiothoracic Surgery, Groby Road, Leicester, LE3 9QP, UK
  1. Abdul Rasheed, rasheedea{at}hotmail.com

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A 17-year-old woman was admitted with sore throat, cervical lymphadenopathy and marked leukocytosis (white blood cell (WBC) count 36×109/litre, neutrophils 26×10×109/litre). She deteriorated over the next 5 days developing acute respiratory distress syndrome (ARDS) needing extracorporeal membrane oxygenation (ECMO) support. An MRI scan showed retropharyngeal lymphadenopathy and no mediastinal …

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Footnotes

  • Competing interests: None.

  • Patient consent: Patient/guardian consent was obtained for publication.

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