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Kawasaki disease complicated by cerebral infarction

Published online by Cambridge University Press:  18 April 2005

Kenji Suda ,
Masahiko Matsumura  and
Shigeru Ohta
Kenji Suda
Affiliation:
Department of Pediatrics, Tenri Hospital, Tenri City, Japan
Masahiko Matsumura
Affiliation:
Department of Pediatrics, Tenri Hospital, Tenri City, Japan
Shigeru Ohta
Affiliation:
Department of Pediatrics, Tenri Hospital, Tenri City, Japan
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Abstract

An 8-month-old boy presented with right hemiplegia of sudden onset after 20 days of Kawasaki disease, which was not initially treated by gamma globulin. Cranial X-ray computed tomography confirmed cerebral infarction as the cause of the right hemiplegia. In subsequent weeks, he developed multiple thromboses in coronary aneurysms. He successfully underwent intracoronary thrombolysis using tissue plasminogen activator without haemorrhagic complications. Cerebral infarction as a complication of Kawasaki disease is rare, and is a difficult clinical situation to manage.

Keywords

Coronary aneurysmcoronary thrombosisintracoronary thrombolysis
Type
Brief Report
Information
Cardiology in the Young , Volume 13 , Issue 1 , February 2003 , pp. 103 - 105
Copyright
© 2003 Cambridge University Press

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