title: Shock: an unusual presentation of Kawasaki disease.
abstract: Kawasaki disease (KD) is a common acute systemic vasculitis of childhood. Although KD has wide spectrum of clinical features, shock is not one of its common presentation form. We describe a 5-month-old female infant with severe shock syndrome requiring fluid resuscitation, inotropic support, and PICU admission. She was diagnosed retrospectively to have KD complicated by coronary artery aneurysms in spite of receiving early course of IV immunoglobulin.
  
  
  CONCLUSIONS
  Diagnosis of KD could be missed in the pediatric intensive care unit because of its atypical presentation and the wide array of associated clinical symptoms. Subsequently, intensivists and emergency room physicians should maintain a high index of suspicion not to miss it or diagnose it at an advanced stage of the illness.
authors.affiliation: Division of Pediatric intensive care, Department of Pediatrics, Riyadh Military Hospital, Riyadh, 11159, Saudi Arabia. thabetfarah@yahoo.fr
authors.forename: Farah
authors.initials: F
authors.lastname: Thabet
authors.forename: Hend
authors.initials: H
authors.lastname: Bafaqih
authors.forename: Suleiman
authors.initials: S
authors.lastname: Al-Mohaimeed
authors.forename: Mariam
authors.initials: M
authors.lastname: Al-Hilali
authors.forename: Wafaa
authors.initials: W
authors.lastname: Al-Sewairi
authors.forename: May
authors.initials: M
authors.lastname: Chehab
mesh_terms: D005260:Female; D006801:Humans; D007223:Infant; D009080:Mucocutaneous Lymph Node Syndrome / Q000150:complications / Q000175:diagnosis*; D012769:Shock / Q000209:etiology*