Adult onset Kawasaki disease presenting with acute epiglottitis findings

Murakami, Daichi; Sugita, Gen; Gündüz, Mehmet; Suenaga, Tomohiro; Takeuchi, Takashi; Suzuki, Hiroyuki; Hotomi, Muneki

doi:10.1016/j.bjorl.2017.09.001

Cited by 4 publications

(6 citation statements)

References 8 publications

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“…AKD is said to present with specific symptoms that differ from those of infants. Table compares the results of the 26th National Kawasaki Disease Surveillance in 2021 with those of the AKD cases reported in Japan for which major symptoms have been described (2,(4)(5)(6)(7)(8)(9).…”

Section: Discussionmentioning

confidence: 99%

Two Cases of Adult-onset Kawasaki Disease with a Difficult Diagnosis

et al. 2023

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We encountered two consecutive cases of adult-onset Kawasaki disease (AKD) that were difficult to diagnose. In both cases, Kawasaki disease was not considered as a differential diagnosis in the early stages. However, it was possible to make a diagnosis by citing the disease as a differential diagnosis and introducing the patients to the pediatrics department. AKD has a minimal incidence rate and may have a clinical course different from that of childhood-onset Kawasaki disease. Therefore, it is necessary to incorporate Kawasaki disease into the differentiation of an adult fever and to consult with a pediatrician for its diagnosis.

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Section: Discussionmentioning

confidence: 99%

Two Cases of Adult-onset Kawasaki Disease with a Difficult Diagnosis

et al. 2023

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“…[ 15 ] On the other hand, the incidence of KD occurred in adults is very rare with only 106 cases, including ours, reported in the literature. [ 7 – 13 ] Gormard-Mennesson et al reviewed the clinical characteristics of 81 cases of AKD. [ 16 ] Average age was 29 years old.…”

Section: Discussionmentioning

confidence: 99%

“…Our investigation of the literature yielded only 105 published case reports. [ 7 – 13 ] Moreover, there have been no case reports describing AKD treated with IFX to date. In the present report, we describe a case of AKD which was refractory to IVIG, but which successfully reduced systemic inflammation with IFX.…”

Section: Introductionmentioning

confidence: 99%

Infliximab as an alternative therapy for refractory adult onset Kawasaki disease

Kawaguchi¹,

Rikitake²,

Tsuruda

et al. 2018

Medicine

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Rationale:Kawasaki disease (KD) is an acute febrile illness predominantly affecting children less than 5 years of age and characterized by systemic inflammation in all medium-sized arteries. Adult-onset KD (AKD) is rare with only 105 case reports published. Recently, the efficacy of infliximab (IFX) for patients with refractory KD has been demonstrated.Patient concerns:A previously healthy 24-year-old man was admitted because of a persistent fever, and elevated serum level of AST, ALT, LDH, and CRP.Diagnosis:The patients met the diagnostic criteria for KD based on the findings of persistent fever, polymorphous exanthema, unilateral cervical lymphadenopathy, non-purulent palpebral conjunctivitis and membranous desquamation. Echocardiogram revealed the dilatation at the proximal sites of the right coronary artery (7.9 mm) and left anterior descending artery (5 mm). The patient was treated with high-dose intravenous immunoglobulin (1 g/kg/day for 2 days) and ASA (100 mg daily). However, his fever and arthralgia persisted.Interventions:He was administered single 5 mg/kg doses of IFX.Outcomes:He became afebrile the next day and his arthralgia improved.Lessons:We report the first case of administration of IFX in a patient with AKD refractory to intravenous immunoglobulin (IVIG), and successful reduction of systemic inflammation. However, the effectiveness of IFX in the regression of coronary artery aneurysm remains to be determined.

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“…14 Apresenta-se a DK atípica com sintomas incomuns da DK incompleta, sendo fundamental diferir a segunda, que apresenta sintomas clássicos, da primeira, que se caracteriza pelo aumento do fígado, perda auditiva neurossensorial e icterícia. 30 Podem-se observar quanto às pautas interventivas dos enfermeiros relatadas nos estudos: o auxílio ao médico na identificação das manifestações clínicas; a montagem e a execução do plano de cuidados do paciente; a administração de medicação conforme a prescrição médica e a orientação aos pais. Torna-se necessária a capacitação dos profissionais enfermeiros para que a SAE, com a identificação de diagnósticos e implementação de intervenções, proporcione um cuidado integral e eficaz com a melhoria do quadro clínico do paciente.…”

Section: Publicação (P)unclassified

Assistência Hospitalar Multiprofissional À Criança Com Doença De Kawasaki

Lima¹,

Medeiros²,

Alves³

et al. 2021

Rev enferm UFPE on line.

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Objetivo: identificar e mapear a assistência hospitalar multiprofissional à saúde da criança com doença de Kawasaki (DK). Método: scoping review realizada a partir do Portal de Periódicos da Coordenação de Aperfeiçoamento de Pessoal de Nível Superior, utilizando como fonte de coleta sete bases de dados. Foram analisados artigos, dissertações e teses produzidas por pesquisadores de língua portuguesa, inglesa e espanhola que abordassem a assistência multiprofissional à saúde da criança com DK. Utilizou-se estatística descritiva simples para análise dos dados. Resultados: a amostra final consistiu em 16 pesquisas. Os membros da equipe multiprofissional que foram citados: enfermeiro, médico, fonoaudiólogo, psicólogo, odontólogo e fisioterapeuta. O enfermeiro é um profissional que desenvolve seu trabalho na assistência direta e indireta à criança com DK. Ressaltou-se a importância de todos da equipe saberem a sintomatologia da doença, pois sendo uma enfermidade com identificação clínica, todos os assistencialistas estão envolvidos nesse processo. Conclusão: notou-se poucos estudos que descrevam as funções multidisciplinares integradas. Descritores: Síndrome de Linfonodos Mucocutâneos; Equipe de Assistência ao Paciente; Hospitais; Saúde da Criança; Criança; Enfermagem.

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Adult onset Kawasaki disease presenting with acute epiglottitis findings

Cited by 4 publications

References 8 publications

Two Cases of Adult-onset Kawasaki Disease with a Difficult Diagnosis

Two Cases of Adult-onset Kawasaki Disease with a Difficult Diagnosis

Infliximab as an alternative therapy for refractory adult onset Kawasaki disease

Assistência Hospitalar Multiprofissional À Criança Com Doença De Kawasaki

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