Adult-onset recurrent Kawasaki disease: an unusual cause of fever of unknown origin.
cardiovascular medicine
infectious diseases
vasculitis
Journal
BMJ case reports
ISSN: 1757-790X
Titre abrégé: BMJ Case Rep
Pays: England
ID NLM: 101526291
Informations de publication
Date de publication:
19 Aug 2021
19 Aug 2021
Historique:
entrez:
20
8
2021
pubmed:
21
8
2021
medline:
24
8
2021
Statut:
epublish
Résumé
We present the case of a 20-year-old man with a background of transposition of the great arteries presenting with fever of unknown origin, who developed a shock like syndrome with respiratory failure necessitating intubation. After extensive investigation, a diagnosis of adult-onset Kawasaki disease was made, and he was successfully treated with IVIg and corticosteroids. We present the clinical findings clinicians should be aware of, and review the literature on managing this rare presentation in adult, highlighting the importance of early diagnosis in improving outcomes. Both children and adults with Kawasaki disease require long-term follow-up, as they remain at increased risk of both coronary artery aneurysms and early acute coronary syndrome.
Identifiants
pubmed: 34413039
pii: 14/8/e243704
doi: 10.1136/bcr-2021-243704
pmc: PMC8378382
pii:
doi:
Substances chimiques
Immunoglobulins, Intravenous
0
Types de publication
Case Reports
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Informations de copyright
© BMJ Publishing Group Limited 2021. No commercial re-use. See rights and permissions. Published by BMJ.
Déclaration de conflit d'intérêts
Competing interests: None declared.
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