Key result
A 4-month-old infant with Kawasaki disease presented with the rare complications of exudate cardiac tamponade and early giant coronary artery aneurysms in the acute phase of the disease.
Why the study?
Cardiovascular involvement in Kawasaki disease typically features late coronary illness, making acute presentation with exudate cardiac tamponade and early giant coronary artery aneurysms rare.
Case Report (n=1)
Answers are grounded in this paper and cite their sources.
Highlights a rare and severe acute presentation of Kawasaki disease involving cardiac tamponade and early giant coronary artery aneurysms in a young infant.
Kawasaki disease is an acute systemic vascular disease, generally self-limited and typically affecting children <5 years old, which leads to coronary artery aneurysms in about 25% of untreated cases. Cardiovascular involvement is characterised by transient pancarditis, in acute phase, while coronary illness, ranging from mild dilation to giant CAAs occurs late, rarely before the 10th day since fever onset. Here, we describe a peculiar case of KD, which occurred in a 4-month-old infant and presented with exudate cardiac tamponade and early giant aneurism of both the proximal right coronary artery) and the left circumflex coronary artery, in acute phase of the disease.
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Vergara et al. (2021) conducted a case report in Kawasaki disease (n=1). A 4-month-old infant with Kawasaki disease presented with the rare complications of exudate cardiac tamponade and early giant coronary artery aneurysms in the acute phase of the disease.
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