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Kawasaki disease in a healthcare provider: an adult case in a paediatric resident

Published online by Cambridge University Press:  28 December 2015

Luis M. Garrido-García ,
Martín López-Amézquita  and
Rodrigo Villaverde-Rosas
Luis M. Garrido-García*
Affiliation:
Cardiology Service, Instituto Nacional de Pediatría, México City, Mexico
Martín López-Amézquita
Affiliation:
Cardiology Service, Instituto Nacional de Pediatría, México City, Mexico
Rodrigo Villaverde-Rosas
Affiliation:
Allergy and Immunology Service, Instituto Nacional de Pediatría, México City, Mexico
*
Correspondence to: L. M. Garrido-Garcia, MD, MS, Instituto Nacional de Pediatría, Av Insurgentes Sur 3700-C, Colonia Insurgentes Cuicuilco, Mexico City 04530, Mexico. Tel: +52 55 1084 09 00 ext 1228; Fax: +52 55 52547 0589; E-mail: [email protected]
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Abstract

Kawasaki disease is a small-to-medium-vessel vasculitis of unknown origin that predominantly affects children, although the disease can occur in adults. We report the case of a 26-year-old paediatric resident with fever, exanthema, ocular changes, arthralgia, and desquamation of palms and soles. Diagnosis was established after the fever resolved, and no treatment with intravenous gammaglobulin was administered. His echocardiogram showed normal coronary arteries. Acute Kawasaki disease in adults is a rare and under-recognised condition. It is important to consider the disease in patients with prolonged fever associated with unusual clinical features.

Keywords

Kawasaki diseasevasculitisadults
Type
Brief Reports
Information
Cardiology in the Young , Volume 26 , Issue 5 , June 2016 , pp. 976 - 978
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Copyright
© Cambridge University Press 2015 

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References

1. Newburger, JW, Takahashi, M, Gerber, AM, Gewitz, HM. Diagnosis, treatment and long term management of Kawasaki disease: a statement for health professionals from the committee on rheumatic fever, endocarditis and Kawasaki disease, council on cardiovascular disease in the young, American Heart Association. Circulation 2004; 110: 2747–2771.CrossRefGoogle Scholar
2. Wolff, EA, Hansen, EK, Zakowski, L. Acute Kawasaki disease: not just for kids. JGIM 2007; 22: 681–684.Google Scholar
3. Salgado, A, Ulloa-Guiérrez, R, Estripeaut, D, et al. Multicenter retrospective study of the clinical course of Kawasaki disease in Latin American children. Circulation 2015; 131: AO15.Google Scholar
4. Garrido-García, LM, Soto-Blanquel, JL, Espinosa-Rosales, FJ. Enfermedad de Kawasaki: cuadro clínico, exámenes de laboratorio y lesiones coronarias. Acta Pediatr Mex 2015; 36: 314–321.Google Scholar
5. Loomba, RS, Raskin, A, Gudausky, TM, Kirkpatrick, E. Racial differences in Kawasaki disease: comparison of clinical findings, laboratory values, treatment efficacy. Ann Paediatr Rheum 2013; 2: 147–153.Google Scholar
6. Everett, ED. Mucocutaneous Lymph Node Syndrome (Kawasaki disease) in adults. JAMA 1979; 242: 542–543.Google Scholar
7. Kontopoulou, T, Kontopoulos, DG, Vaidakis, E, Mousoulis, GP. Adult Kawasaki disease in a European patient: a case report and review of the literature. J Med Case Rep 2015; 9: 75–81.CrossRefGoogle Scholar
8. Stankovic, K, Miailhes, P, Bessis, D, Ferry, T, Broussolle, C, Sève, P. Kawasaki-like syndromes in HIV-infected adults. J Infect 2007; 55: 488–494.Google Scholar
9. Sève, P, Tankovic, K, Smail, A, Durand, DV, Marchand, G, Broussolie, C. Adult Kawasaki disease: report of two cases and literature review. Semin Arthiritis Rheum 2005; 34: 785–792.Google Scholar
10. Sève, P, Lega, JC. Kawasaki disease in adult patients. Rev Med Interne 2011; 32: 17–25.Google Scholar