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  • Marked coronary artery dilation in a young adult requiring extracorporeal membrane oxygenation support for adult respiratory distress syndrome due to Kawasaki disease

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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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http://dx.doi.org/10.1136/bcr.10.2008.1113

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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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    2009 BMJ Publishing Group Ltd