Gastrointestinal hemorrhage before anticoagulant therapy in Kawasaki disease: a case report

Hu, Chenmin; Yu, Yanping

doi:10.1186/s12887-020-1916-6

Cited by 3 publications

(2 citation statements)

References 15 publications

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“…Pratap et al 10 described KD in an adult with predominant hepatic involvement which is rare. Hu C et al 11 reported KD in a 4 years old boy with predominant gastrointestinal symptoms with signs of gastrointestinal haemorrhage on Endoscopy. In another report by Liu et al 12 , they described KD in a 2 years girl child with predominant respiratory symptoms diagnosed with KD shock syndrome who was treated with extracorporeal membrane oxygenation and eventually recovered completely.…”

Section: Discussionmentioning

confidence: 99%

Dilemma in diagnosing incomplete Kawasaki disease in a resource limited setting

Bhatta,

Baniya,

Koirala

et al. 2023

Annals of Medicine &Amp; Surgery

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Introduction and Importance: Kawasaki diseaseis an acute febrile systemic vasculitis that predominantly affects small to medium sized vessels and mostly occurs in children below five years of age. The morbidity and mortality mostly occur due to cardiac involvement. Case Presentation: We Present a Case of a 5-year-old male child from hilly region of Nepal who presented with fever for 7 days along with strawberry tongue and non-exudative conjunctivitis without rashes, extremity changes or lymphadenopathy. A suspicion of Incomplete Kawasaki Disease was made. The notable investigation findings were increased erythrocyte sedimentation rate, C-reactive protein, leukocyte count and platelets. Echocardiography showed normal findings. Based on the clinical features and supplemental laboratory findings, a diagnosis of incomplete Kawasaki disease was made. The patient improved after intravenous immunoglobulin andAspirin. Clinical Discussion: The main learning objective that we get from this case is the challenges in the diagnosis of Incomplete Kawasaki Disease in the resource limited setting like Nepal. Whether or not to start intravenous immunoglobulin is a dilemma for the physician in most of the cases of suspected incomplete Kawasaki disease, due to the high cost and poor availabilityof intravenous immunoglobulinin this setting. Hence, the use of inflammatory markers, supplemental laboratory findings together with the few diagnostic criteria met by the patienthelps in making a diagnosis and institute timely treatment with intravenous immunoglobulin and aspirin. Conclusion: Diagnosis of Kawasaki Disease in difficult in resource limited setting.

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Section: Discussionmentioning

confidence: 99%

Dilemma in diagnosing incomplete Kawasaki disease in a resource limited setting

Bhatta,

Baniya,

Koirala

et al. 2023

Annals of Medicine &Amp; Surgery

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“…Gastrointestinal bleeding is rare in patients with KD [3,5,15]. However, attention should be paid to the occurrence of gastrointestinal bleeding.…”

Section: Discussionmentioning

confidence: 99%

A case of gastrointestinal hemorrhage during aspirin therapy in a patient with Kawasaki disease

Shin

Kim

et al. 2021

Med Biol Sci Eng

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Kawasaki disease (KD) is an acute febrile multisystem vasculitis and has been recognized to be one of the most common causes of acquired heart disease in children. KD with gastrointestinal bleeding is quite rare. We report a 12-month-old boy with KD complicated by gastrointestinal hemorrhage after using of high-dose of aspirin. Physicians caring for patients with KD should mindful on the signs and symptoms of aspirin toxicity including gastrointestinal hemorrhage. Starting or early switching to a low-dose aspirin treatment on KD should be considered.

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