Summary
We report a patient who presented with a prolonged febrile illness and evidence of an acute streptococcal infection. The development of thrombocytosis led to the suspicion of Kawasaki syndrome despite the fact he did not fulfill the usual clinical criteria. A two-dimensional echocardiogram demonstrated bilateral coronary artery aneurysms.
References
Kato H, Koike S, Yamamoto M, Ito Y, Yano E (1975) Coronary aneurysms in infants and young children with acute febrile mucocutaneous lymph node syndrome.J Pediatr 86:892–898
Kato H, et al. (1977)Natural history of Kawasaki disease: vascular lesions of collagen diseases and related conditions. Skiokawa Y (ed). University of Tokyo, Tokyo, pp 281–286
Kawasaki T (1967) Acute febrile mucocutaneous syndrome with lymphoid involvement with specific desquamation of fingers and toes: a report of 50 cases [in Japanese].Jpn J Allergy 16:178–222
Kawasaki T, Kosaki F, Okawa S, Shigematsu I, Yanagawa H (1974) A new infantile acute febrile mucutaneous lymph node syndrome (MLNS) prevailing in Japan.Pediatrics 54:271–276
Melish ME (1981) Kawasaki syndrome: a new infectious disease?J Infect Dis 143:317–324
Rennebohm RM, Burke MJ, Crowe W, et al. (1981) Anterior uvietis in Kawasaki disease.Am J Opthalmol 91:535–537
Tanaka N, Nave S, Kawasaki T (1971) Pathological study on autopsy cases of mucocutaneous lymph node syndrome in childhood, particularly in relation with periarteritis nodosa-like arteritis [in Japanese].Med J Jpn Redcross Central Hospital 1:85
Yanagihara R, Todd JK (1980) Acute febrile mucocutaneous lymph node syndrome.Am J Dis Child 134:603–612
Yoshikawa J, Yanagihara K, Owaki T, Kato H, Takagi Y, Okumachi F, Fukaya T, Tomita Y, Baba K (1979) Cross sectional echocardiographic diagnosis of coronary artery aneurysms in patients with the mucocutaneous lymph node syndrome.Circulation 59:133–139
Author information
Authors and Affiliations
Rights and permissions
About this article
Cite this article
Reller, M., DeCristofaro, J. & Schwartz, D.C. Coronary aneurysms in a patient with atypical Kawasaki syndrome and a streptococcal infection. Pediatr Cardiol 5, 205–207 (1984). https://doi.org/10.1007/BF02427046
Issue Date:
DOI: https://doi.org/10.1007/BF02427046