Pediatric Infectious Disease

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VOLUME 5 , ISSUE 2 ( April-June, 2023 ) > List of Articles


Coronary Microaneurysms—An Early Manifestation of Kawasaki Disease: A Case Report

Shea-Lee Godin

Keywords : Coronary artery aneurysm, Kawasaki, Kawasaki disease, Pediatric

Citation Information : Godin S. Coronary Microaneurysms—An Early Manifestation of Kawasaki Disease: A Case Report. Pediatr Inf Dis 2023; 5 (2):49-51.

DOI: 10.5005/jp-journals-10081-1377

License: CC BY-NC 4.0

Published Online: 30-06-2023

Copyright Statement:  Copyright © 2023; The Author(s).


Introduction: Kawasaki disease (KD) is a medium-vessel vasculitis with a predilection for coronary arteries and has been recognized to be the most common cause of acquired heart disease in children (Hedrich et al., 2018; Newburger et al., 2016; Saguil et al., 2015; Singh et al., 2018; Sundel, 2015). Hedrich et al. (2018) outline how coronary artery aneurysms are a typical manifestation of KD that develops after several weeks of disease. Case presentation: This case report describes the clinical course and outcomes of a patient, a 5-year-old Hispanic female with KD who displayed early development of coronary microaneurysms as opposed to the typical late sequelae development. Discussion and conclusion: This unique presentation of KD highlights some crucial questions that should be addressed, including whether coronary artery aneurysms should be reconsidered as only a late sequela of untreated disease. Can coronary artery aneurysms be an early manifestation of KD?

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