Fatal cardiac tamponade in a patient with Kawasaki disease

Kawasaki disease (KD) is usually a self-limiting condition, but cardiac complications are not uncommon and can lead to significant morbidity and mortality. This article describes the case of an 18-year-old man with rapidly progressive and ultimately fatal KD. Polyserositis syndrome and cardiac tampo...

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Bibliographic Details
Published in:Heart & lung 2005-07, Vol.34 (4), p.257-259
Main Authors: Ozdogu, Hakan, Boga, Can
Format: Article
Language:English
Subjects:
Adolescent
Cardiac Tamponade - etiology
Cardiac Tamponade - therapy
Disease Progression
Fatal Outcome
Glucocorticoids - therapeutic use
Humans
Immunoglobulins, Intravenous - therapeutic use
Male
Mucocutaneous Lymph Node Syndrome - complications
Pericardial Effusion - complications
Pericardial Effusion - therapy
Pericardiocentesis
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Summary:Kawasaki disease (KD) is usually a self-limiting condition, but cardiac complications are not uncommon and can lead to significant morbidity and mortality. This article describes the case of an 18-year-old man with rapidly progressive and ultimately fatal KD. Polyserositis syndrome and cardiac tamponade developed during a convalescent phase of the illness. Treatment with high-dose corticosteroid and intravenous immunoglobulin-G therapy was unsuccessful. The patient continued to deteriorate despite supportive care. Severe cardiac tamponade developed, and percutaneous pericardiocentesis was performed, but the patient died hours later. This is the second reported case of KD featuring a polyserositis syndrome and impending cardiac tamponade, and the first with fatal outcome.
ISSN:0147-9563
1527-3288
DOI:10.1016/j.hrtlng.2004.12.003