Infantile Kawasaki disease and peripheral gangrene.
We report a 1-month-old infant with Kawasaki disease and peripheral gangrene. We advocate using the newly published American Heart Association guidelines advising early laboratory and echocardiogram investigations in infants with fever but without other classic manifestations of Kawasaki disease. Initiation of early therapy may prevent this serious complication with its permanent sequelae.
Durall
Amy L
AL
Department of Anesthesia, Children's Hospital, Boston, Massachusetts, USA.
Phillips
John R
JR
Weisse
Martin E
ME
Mullett
Charles J
CJ
D000077284:Abciximab; D000671:Amputation, Surgical; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D000911:Antibodies, Monoclonal / Q000627:therapeutic use; D000925:Anticoagulants / Q000627:therapeutic use; D000990:Antithrombin III / Q000037:antagonists & inhibitors; D001241:Aspirin / Q000627:therapeutic use; D004176:Dipyridamole / Q000627:therapeutic use; D005528:Foot / Q000473:pathology* / Q000601:surgery; D005734:Gangrene / Q000209:etiology / Q000628:therapy; D005938:Glucocorticoids / Q000627:therapeutic use; D006493:Heparin / Q000627:therapeutic use; D006801:Humans; D007140:Immunoglobulin Fab Fragments / Q000627:therapeutic use; D016756:Immunoglobulins, Intravenous / Q000627:therapeutic use; D007223:Infant; D007511:Ischemia / Q000209:etiology* / Q000628:therapy; D008297:Male; D008775:Methylprednisolone / Q000627:therapeutic use; D009080:Mucocutaneous Lymph Node Syndrome / Q000150:complications* / Q000175:diagnosis / Q000188:drug therapy; D005996:Nitroglycerin / Q000627:therapeutic use; D010975:Platelet Aggregation Inhibitors / Q000627:therapeutic use; D014665:Vasodilator Agents / Q000627:therapeutic use
D000900:Anti-Bacterial Agents; D000911:Antibodies, Monoclonal; D000925:Anticoagulants; D005938:Glucocorticoids; D007140:Immunoglobulin Fab Fragments; D016756:Immunoglobulins, Intravenous; D010975:Platelet Aggregation Inhibitors; D014665:Vasodilator Agents; D004176:Dipyridamole; D000990:Antithrombin III; D006493:Heparin; D005996:Nitroglycerin; D001241:Aspirin; D008775:Methylprednisolone; D000077284:Abciximab