Key result
Timely echocardiography enables early detection of incomplete Kawasaki disease in infants with prolonged fever.
Why the study?
Incomplete Kawasaki disease is difficult to diagnose due to less pronounced symptoms and poses a risk of dangerous cardiovascular complications in young children.
Case Report (n=1)
Timely echocardiography of coronary vessels is crucial in infants with unexplained long-term fever to diagnose incomplete Kawasaki disease and prevent serious cardiovascular complications.
Supports echocardiography consideration in febrile infants; hypothesis-generating and leaves practice change open.
Kawasaki disease (KD) is one of the most common vasculitis occurring in children under 5 years, difficult to diagnose due to the presence of a wide range of nonspecific manifestations. It is especially difficult to diagnose an incomplete KD, as it has less pronounced symptoms, is more common in children under 4 year and poses a threat of developing dangerous cardiovascular complications. Unexplained long-term fever in infants may be the only manifestation of the acute stage of the disease, while the cardiovascular system is often involved in the pathological process later (in the second week of the disease) and often remains undiagnosed. This article presents the result of own clinical observation of a child of 3 months with incomplete KD. The importance of timely echocardiography of coronary vessels in children with the debut of long-term fever of unclear etiology is emphasized. It should be remembered that a timely diagnosis allows you to prescribe adequate therapy and prevent the development of serious complications.
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Volgina et al. (2020) conducted a case report in Incomplete Kawasaki disease (n=1). Echocardiography of coronary vessels was evaluated. A 3-month-old infant presented with incomplete Kawasaki disease, highlighting the importance of timely echocardiography for unexplained long-term fever to prevent cardiovascular complications.
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