Key result
Combined TTE and CTA guides diagnosis and management of giant coronary aneurysms in infant Kawasaki disease.
Why the study?
Delayed treatment beyond Day 10 of fever in infants with Kawasaki disease increases the risk of coronary artery aneurysms, and diagnosis can be challenging due to lack of classic findings.
Case Report (n=1)
Highlights the utility of multimodality imaging (echocardiography and CT angiography) in diagnosing and managing Kawasaki disease with giant coronary aneurysms in young infants.
Answers are grounded in this paper and cite their sources.
May aid diagnosis in rare infantile Kawasaki giant aneurysms; leaves open prospective validation of protocols.
Kawasaki disease (KD) is a vasculitis that affects medium-sized arteries and can lead to coronary artery aneurysms. KD should be considered in any infant presenting with prolonged fever. Delaying treatment beyond Day 10 of fever portends a high risk of coronary artery aneurysms. Echocardiography is often necessary to diagnose KD in young infants who frequently present without classic physical examination findings. We report on a case of KD with giant aneurysms in a 2-month-old infant. A combination of transthoracic echocardiography and CT angiography was utilized in the diagnosis as well as in the management of this infant.
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Cameron et al. (2018) conducted a case report in Kawasaki disease with giant coronary artery aneurysms (n=1). Transthoracic echocardiography and CT angiography was evaluated. A combination of transthoracic echocardiography and CT angiography was utilized in the diagnosis and management of a 2-month-old infant with Kawasaki disease and giant coronary aneurysms.
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