Key result
A 5-month-old infant with Kawasaki disease developed a fatal late-onset cerebral infarction 15 months after disease onset, highlighting the risk of cerebrovascular involvement.
Why the study?
Cerebral infarction is a rare neurological complication of Kawasaki disease typically occurring in the acute or subacute stage, with no prior reports of late-onset fatal cerebral infarction presenting over 1 year after onset.
Population
A 5-month-old male patient with Kawasaki disease
Design
Case report and literature review
Authors
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May signal late cerebral infarction risk years after KD with CAA; leaves open optimal long-term antithrombotic strategies and surveillance needs.
Case Report (n=1)
Cerebral infarction and cerebral artery stenosis can develop late (over 1 year) after Kawasaki disease onset, highlighting the need for long-term neuroimaging and prompt anticoagulation in patients with giant coronary artery aneurysms or thrombosis.
Wang et al. (2021) conducted a case report in Kawasaki Disease (n=1). Urokinase, low-molecular-weight heparin, aspirin, and clopidogrel was evaluated on Clinical outcome. A 5-month-old infant with Kawasaki disease developed a fatal late-onset cerebral infarction 15 months after disease onset, highlighting the risk of cerebrovascular involvement.
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