[Ischemic colitis and hemophagocytosis complicating Kawasaki disease].
Gastrointestinal manifestations of Kawasaki disease are usually limited to stomatitis, paralytic ileus, and hydrops of the gallbladder. We report a case of Kawasaki disease complicated with hemophagocytosis and ischemic colitis.


METHODS
A 5-year-old girl with Kawasaki disease presented with hemophagocytosis that responded to gamma-globulin therapy. On day 4 she had abdominal pain and diarrhea. CT scan showed features suggesting ischemic colitis. Symptoms resolved on total parenteral nutrition.


CONCLUSIONS
Ischemic colitis and hemophagocytosis are potential severe complications of Kawasaki disease.
Service de pédiatrie, hôpital Farhat-Hached, avenue Ibn-El-Jazzar, 4000 Sousse, Tunisie. thabetfarah@yahoo.fr
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F
Thabet
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Bellara
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Tabarki
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Kchaou
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H
Selmi
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M
Yacoub
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Essoussi
D002675:Child, Preschool; D017091:Colitis, Ischemic / Q000209:etiology*; D005260:Female; D015616:Histiocytosis, Non-Langerhans-Cell / Q000209:etiology*; D006801:Humans; D009080:Mucocutaneous Lymph Node Syndrome / Q000150:complications* / Q000175:diagnosis