Key result
Kawasaki disease in an infant presented unusually with stridor and a giant coronary artery aneurysm with thrombosis that successfully resolved with aggressive anticoagulation therapy.
Respiratory illness with stridor can be an unusual presentation of Kawasaki disease, which may be complicated by giant coronary aneurysms and thrombosis that respond to aggressive anticoagulation.
Stridor may indicate Kawasaki disease with giant aneurysms in infants; this Level 5 case leaves open generalizability of anticoagulation success.
We report a six-month-old febrile infant presenting with stridor. Later on, he developed typical Kawasaki disease with giant aneurysm of the coronary artery with thrombosis that resolved with an aggressive anticoagulation therapy. The giant aneurysm still persisted a year later. Respiratory illness with stridor is an unusual presentation of Kawasaki disease.
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Ghosh et al. (2011) studied this question. Kawasaki disease in an infant presented unusually with stridor and a giant coronary artery aneurysm with thrombosis that successfully resolved with aggressive anticoagulation therapy.
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