Coronary artery dilatation in toxic shock-like syndrome: the Kawasaki disease shock syndrome.
Kawasaki disease is a common systemic vasculitis of childhood that may result in life-threatening coronary artery abnormalities. Despite an overlap of clinical features with toxic shock syndrome, children with Kawasaki disease generally do not develop shock. We report two cases of older children who presented with a toxic shock-like illness, and were diagnosed with Kawasaki disease when coronary artery abnormalities were found on echocardiography, in keeping with the recently described 'Kawasaki disease shock syndrome'. Clinicians should consider Kawasaki disease in all children presenting with toxic shock and assess for coronary artery damage.
Yim
Deane
D
Children's Cardiac Centre, Princess Margaret Hospital for Children, Perth, Australia.
Ramsay
James
J
Kothari
Darshan
D
Burgner
David
D
D002648:Child; D003324:Coronary Artery Disease / Q000000981:diagnostic imaging*; D003937:Diagnosis, Differential; D004108:Dilatation, Pathologic / Q000000981:diagnostic imaging; D004452:Echocardiography; D006801:Humans; D008297:Male; D009080:Mucocutaneous Lymph Node Syndrome / Q000000981:diagnostic imaging*; D012772:Shock, Septic / Q000175:diagnosis