Kawasaki disease complicated by cerebral infarction.
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.
Suda
Kenji
K
Department of Pediatrics, Tenri Hospital, Tenri City, Japan. kensuda@tenriyorozu-hp.or.jp
Matsumura
Masahiko
M
Ohta
Shigeru
S
D002544:Cerebral Infarction / Q000150:complications / Q000175:diagnosis* / Q000188:drug therapy; D003323:Coronary Aneurysm / Q000150:complications / Q000175:diagnosis*; D017023:Coronary Angiography; D003328:Coronary Thrombosis / Q000150:complications / Q000175:diagnosis* / Q000188:drug therapy; D015150:Echocardiography, Doppler; D005500:Follow-Up Studies; D006429:Hemiplegia / Q000150:complications / Q000175:diagnosis / Q000188:drug therapy; D006801:Humans; D007223:Infant; D008297:Male; D009080:Mucocutaneous Lymph Node Syndrome / Q000150:complications / Q000175:diagnosis*; D018570:Risk Assessment; D015912:Thrombolytic Therapy / Q000379:methods*; D010959:Tissue Plasminogen Activator / Q000008:administration & dosage; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome
D010959:Tissue Plasminogen Activator