Myocardial infarction in Kawasaki disease.
A 5 1/2-month-old infant with Kawasaki disease complicated by coronary aneurysms is described. Despite myocardial infarction, the patient survived and is improving on medical management alone. Coronary aneurysms occur in 20% of cases presenting with Kawasaki disease. Medical management is aimed at preventing infarction and promoting healing of aneurysms. The use of anticoagulants and thrombolytics in Kawasaki disease is discussed.
Gilbert
R D
RD
Department of Paediatrics and Child Health, University of Cape Town.
de Moor
M M
MM
D006801:Humans; D007223:Infant; D008297:Male; D009080:Mucocutaneous Lymph Node Syndrome / Q000150:complications*; D009203:Myocardial Infarction / Q000188:drug therapy / Q000209:etiology*