Kawasaki disease

Abstract

The authors present a case report of Kawasaki disease (KD) which was diagnosed in 15-month old boy on the basis of the usual criteria. All 6 basic signs and also hepatopathia, erythrocyturia, laboratory signs of inflammation, thrombocytosis, meningism, enterocolitis were presented. The diagnosis of KD has been made on 4th day of hospitalization. Therapy with intravenous gamma globulin was given during 4 days in dose 400 mg/kg/d and salicylate therapy in dose 100 mg/kg/day. Fever reduced within 4 days. On 10th day gastroenteritis with fever (39 °C) appeared, lasting two days. On 13th day desquamation of skin from fingertips, palms and later from the toetips and soles were observed. There were changes of finger-nails and prolongation of dry erythematous fissured lips. No pathological finding on heart seen by echocardiography was found. The boy recovered completely, including clinical and laboratory resolution and now he is screened and followed up in Pediatric Cardiology Centre in Bratislava. So far, is without coronary abnormalities.