title: Symptomatic myocarditis in Kawasaki disease.
abstract: Kawasaki disease (KD) is an acute febrile illness of infants and young children that is characterized by a medium vessel vasculitis, most commonly involving the coronary arteries. Though subclinical myocarditis is rather common in KD, symptomatic congestive heart failure is extremely uncommon. The authors report a 9-y-old boy who developed heart failure (ejection fraction 28%) in the acute phase of KD. He was initially treated with intravenous immunoglobulin (2 g/kg) without much clinical improvement. He was then given 5 daily pulses of intravenous methylprednisolone followed by tapering doses of oral prednisolone. The child showed prompt clinical recovery and remains well on follow-up. The present case serves to highlight the fact that methylprednisolone can be considered upfront as rescue therapy in children with KD who have symptomatic congestive cardiac failure during the acute stage of the disease.
authors.affiliation: Division of Allergy Immunology, Department of Pediatrics, Advanced Pediatrics Center, Post Graduate Institute of Medical Education and Research, Chandigarh, India.
authors.forename: Pooja
authors.initials: P
authors.lastname: Aggarwal
authors.forename: Deepti
authors.initials: D
authors.lastname: Suri
authors.forename: Nidhi
authors.initials: N
authors.lastname: Narula
authors.forename: Rohit
authors.initials: R
authors.lastname: Manojkumar
authors.forename: Surjit
authors.initials: S
authors.lastname: Singh
mesh_terms: D002648:Child; D006333:Heart Failure / Q000175:diagnosis / Q000209:etiology*; D006801:Humans; D008297:Male; D009080:Mucocutaneous Lymph Node Syndrome / Q000150:complications / Q000175:diagnosis*; D009205:Myocarditis / Q000175:diagnosis / Q000209:etiology*