TY - JOUR
T1 - Delayed diagnosis of Kawasaki syndrome and thrombosis of a medium-sized aneurysm of the anterior descending coronary artery: case report and literature review.
AU - De Rosa, Gabriella
AU - Marano, Riccardo
AU - Piastra, Marco
AU - Delogu, Angelica Bibiana
AU - Rigante, Donato
AU - Cefalo, Maria Giuseppina
AU - 33182,
AU - FACOLTA', DI MEDICINA E CHIRURGIA "A.GEMELLI"
AU - ROMA - Dipartimento di Scienze biotecnologiche di base, cliniche intensivologiche e perioperatorie
AU - 33186,
AU - FACOLTA', DI MEDICINA E CHIRURGIA "A.GEMELLI"
AU - pubblica, ROMA - Dipartimento di Scienze della vita e sanità
AU - 33188,
AU - ematologiche, ROMA - Dipartimento di Scienze radiologiche ed
PY - 2011
Y1 - 2011
N2 - A 7-year-old child was first admitted for persistent fever of 15-day duration and suspected meningitis. Kawasaki syndrome was lately diagnosed upon the recognition of an extensive diffuse coronary artery damage characterized by medium-sized aneurysms of the epicardial vessels. An eccentric thrombus along the inferior wall of the left anterior descending artery suspected at transthoracic echocardiography was confirmed by coronary computed tomography angiography scan, without significant segmental stenosis. Strict cardiac surveillance and anticoagulant therapy were maintained, and no ischemic complications occurred at a short-term follow-up. This report emphasizes that thrombosis can be observed even in medium-sized aneurysms when the diagnosis of Kawasaki syndrome is delayed.
AB - A 7-year-old child was first admitted for persistent fever of 15-day duration and suspected meningitis. Kawasaki syndrome was lately diagnosed upon the recognition of an extensive diffuse coronary artery damage characterized by medium-sized aneurysms of the epicardial vessels. An eccentric thrombus along the inferior wall of the left anterior descending artery suspected at transthoracic echocardiography was confirmed by coronary computed tomography angiography scan, without significant segmental stenosis. Strict cardiac surveillance and anticoagulant therapy were maintained, and no ischemic complications occurred at a short-term follow-up. This report emphasizes that thrombosis can be observed even in medium-sized aneurysms when the diagnosis of Kawasaki syndrome is delayed.
KW - Kawasaki syndrome
KW - Kawasaki syndrome
UR - http://hdl.handle.net/10807/3125
M3 - Article
VL - 2012
SP - 809
EP - 814
JO - Rheumatology International
JF - Rheumatology International
SN - 0172-8172
ER -