Influenza B infection and Kawasaki disease in an adolescent during the COVID-19 pandemic: a case report

Silveira, Jéssica de Oliveira; Pegoraro, Mariana Grando; Ferranti, Juliana Ferreira; Bousso, Albert; Renattini, Tadeu Silveira Martins

doi:10.5935/0103-507x.20210041

Cited by 2 publications

(1 citation statement)

References 7 publications

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“…Another 18 cases were documented in other case reports. [18][19][20][21][22][23][24][25][26][27][28][29][30][31][32][33] Among the 136 reported cases, including ours, the oldest patient was 17 years old, 27,32 suggesting that KD can affect patients of any age because adult-onset KD in patients from 18 to 68 years of age has also been previously identified. KD in adolescents is more likely to affect male patients.…”

Section: Discussionmentioning

confidence: 93%

Clinical characteristics of Kawasaki disease in adolescents

et al. 2021

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Objective Studies focusing on Kawasaki disease (KD) in adolescents are lacking in Southwest China. We systematically summarized the clinical characteristics of KD in adolescents to improve pediatricians’ recognition of this condition. Methods The clinical data of patients with adolescent-onset KD in our center were retrospectively analyzed. The patients were divided into Group A (n = 7), whose first hospitalization was at our hospital, and Group B (n = 10), who were transferred from their local hospital or community health center. Results Seventeen patients with adolescent-onset KD were identified (constituent ratio of 0.8%). Seven patients had an intermittent fever for >10 days. The incidence of incomplete KD was 52.9%. These patients had a high incidence of other atypical clinical manifestations. Fifteen patients were initially misdiagnosed with other infectious diseases. Although the incidence of typical KD was higher in Group B, the overall misdiagnosis rate at the initial stages was higher and the average fever duration on arrival and before IVIG administration were much longer in Group B than A. Conclusions KD in adolescents was frequently misdiagnosed, which might be associated with its atypical, diverse clinical features and pediatricians’ poor recognition. Pediatricians must be aware of the possibility of KD in adolescents.

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Section: Discussionmentioning

confidence: 93%

Clinical characteristics of Kawasaki disease in adolescents

et al. 2021

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A new mimicker of the multisystem inflammatory syndrome in children: Influenza

Üstündağ,

Karadağ Öncel,

Şahin

et al. 2023

Pediatr Acad Case Rep

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Multisystem inflammatory syndrome in children (MIS-C) might present a severe clinical course that clinicians should promptly treat. However, distinguishing other illnesses similar to MIS-C could be confusing. Here, we presented a two-year-old boy diagnosed with MIS-C owing to three days of fever, gastrointestinal findings, mucosal involvement, and elevated inflammatory markers, whose respiratory virus panel resulted in influenza A.

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Influenza B infection and Kawasaki disease in an adolescent during the COVID-19 pandemic: a case report

Cited by 2 publications

References 7 publications

Clinical characteristics of Kawasaki disease in adolescents

Clinical characteristics of Kawasaki disease in adolescents

A new mimicker of the multisystem inflammatory syndrome in children: Influenza

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