Kawasaki disease in a US army soldier highlights surveillance

Chang, Chih Hung; Wood, Jo; Strickling, William A.; Walsh, Douglas S.

doi:10.1111/j.1365-4632.2004.02572.x

Cited by 7 publications

(4 citation statements)

References 5 publications

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“…Such a response is not usual in the KD literature [ 54 , 39 , 40 , 56 ]. Most of the patients become afebrile and feel better after 2 days [ 6 , 8 , 33 , 44 , 45 , 51 , 52 ]; some others after 1 [ 13 , 35 , 39 , 59 ] or 3 days [ 11 , 50 , 58 ].…”

Section: Discussionmentioning

confidence: 99%

“…Lymphadenopathy is often observed in KD. It may be mainly cervical [ 2 , 6 , 8 , 10 , 12 , 13 , 32 - 34 , 36 , 37 , 39 , 40 , 42 , 44 , 46 - 52 , 55 - 58 ], but also axillary [ 33 , 36 , 40 ], inguinal [ 40 , 59 ] or diffuse [ 38 , 41 , 43 , 45 , 54 ].…”

Section: Introductionmentioning

confidence: 99%

“…Skin and mucous membranes express a variety of abnormalities: skin rash [ 2 , 8 , 12 , 13 , 15 , 33 - 36 , 38 - 50 , 52 - 56 , 58 ]; skin eruptions [ 12 , 36 , 41 , 51 ]; polymorphic erythema [ 6 , 10 ]; erythema of palms and soles [ 15 , 34 , 40 - 42 , 45 , 48 , 51 , 54 , 55 ]; perineal erythema [ 12 , 35 , 36 , 40 , 52 ]; induration and swelling of hands and feet [ 6 , 8 , 12 , 13 , 34 , 36 , 39 - 43 , 46 , 51 , 56 , 58 ]; desquamation of palms and soles [ 2 , 10 , 11 , 13 , 32 - 35 , 37 , 38 , 40 - 47 , 49 , 57 , 59 ]; strawberry [ 10 , 13 , 32 , 35 - 37 , 40 , 41 , 44 - 48 , 50 -…”

Section: Introductionmentioning

confidence: 99%

“…Eye problems are frequent and of great variety: conjunctivitis [ 2 , 8 , 10 - 13 , 32 - 34 , 36 - 52 , 54 , 55 , 57 - 59 ]; iritis [ 37 ]; keratitis [ 34 , 52 ]; icteric sclera [ 32 , 47 ]; painful eyes [ 37 ]; palpebral oedema of the eyes [ 40 ]; and reduction of vision [ 52 ]. As to the ear, tinnitus and mild bilateral hearing loss have been reported [ 34 ].…”

Section: Introductionmentioning

confidence: 99%

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Adult Kawasaki disease in a European patient: a case report and review of the literature

et al. 2015

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IntroductionKawasaki disease is an acute necrotising vasculitis of the medium- and small-sized vessels, occurring mainly in Japanese and Korean babies and children, aged 6 months to 5 years. Its main complication is damage of coronary arteries, which has the potential to be fatal. Here we report a rare case of Kawasaki disease that occurred in a 20-year-old Greek adult.Case presentationA 20-year-old Greek man presented with high fever, appetite loss, nausea and vomiting, headache and significant malaise. He had an erythema of the palms and strikingly red lips and conjunctiva. As he did not respond to broad-spectrum antibiotics and after having excluded other possible diagnoses, the diagnosis of Kawasaki disease was set. He was treated with intravenous immunoglobulin and oral aspirin on the 10th day since the onset of the illness. His clinico-laboratory response was excellent and no coronary artery aneurysms were detected in coronary artery computed tomography performed 1 month later.ConclusionsThis report of an adult case of European Kawasaki disease may be of benefit to physicians of various specialties, including primary care doctors, hospital internists, intensivists and cardiologists. It demonstrates that a case of prolonged fever, unresponsive to antibiotics, in the absence of other diagnoses may be an incident of Kawasaki disease. It is worth stressing that such a diagnosis should be considered, even if the patient is adult and not of Asian lineage.

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