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J Cardiovasc Dis Res. 2012 Jul;3(3):240-1. doi: 10.4103/0975-3583.98902.

Kawasaki's disease: An unusual presentation.

Journal of cardiovascular disease research

I Shah

Affiliations

  1. Department of Pediatrics, B. J. Wadia Hospital for Children, Parel, Mumbai, India.

PMID: 22923945 PMCID: PMC3425034 DOI: 10.4103/0975-3583.98902

Abstract

Atypical presentations of Kawasaki's disease have been described in the form of intestinal pseudo-obstruction, tonsillitis, hemorrhagic serous effusions, thrombocytopenia, and non-fulfillment of all criteria for diagnosis of Kawasaki's disease. However, presentation of Kawasaki's disease with shock and need for ionotropic support have been rarely described. We present a 4-year-old girl with Kawasaki's disease who presented with anasarca, oliguria, shock, and presence of dilated coronary arteries within 5 days of fever and responded to intravenous immunoglobulin (IVIG) and inotropic support.

Keywords: Atypical presentation; Kawasaki's disease; children

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