title: Capillary leak leading to shock in Kawasaki disease without myocardial dysfunction.
abstract: Kawasaki disease is an acute vasculitis of childhood. Its clinical presentation is well known, and coronary artery aneurysms are classical complications. Shock and pleural or pericardiac effusion are rare presentations of the disease. In intensive care units, the disease may be mistaken for septic shock or toxic shock syndrome. Owing to the fact that immunoglobulin therapy improves the course of the disease, especially if given early, and thus the diagnosis should not be delayed.
authors.affiliation: Pediatric Intensive Care Unit, Department of Pediatrics, University Hospital and University of Lausanne, CHUV, Switzerland.
authors.forename: Julia
authors.initials: J
authors.lastname: Natterer
authors.forename: Marie-Hélène
authors.initials: MH
authors.lastname: Perez
authors.forename: Stefano
authors.initials: S
authors.lastname: Di Bernardo
mesh_terms: D019559:Capillary Leak Syndrome / Q000209:etiology*; D002648:Child; D002675:Child, Preschool; D003323:Coronary Aneurysm / Q000175:diagnosis / Q000209:etiology*; D003937:Diagnosis, Differential; D005260:Female; D006801:Humans; D015278:Intensive Care Units, Pediatric; D008297:Male; D009080:Mucocutaneous Lymph Node Syndrome / Q000150:complications* / Q000628:therapy; D010490:Pericardial Effusion / Q000209:etiology*; D010996:Pleural Effusion / Q000209:etiology*; D012772:Shock, Septic / Q000209:etiology*