title: [Brain hemorrhage in a patient with Kawasaki disease].
abstract: Kawasaki disease is an acute, self-limiting vasculitis of unknown origin, characterized by fever, palms and soles edema, cervical lymphadenopathy, strawberry tongue, and non-exudative conjunctivitis. It is a multisystemic vasculitis that affects predominantly infants and young children. The most feared complication is the development of coronary aneurysms that occurs up to 25% of untreated patients; however there are reports of extra coronary involvement. Herein we present the case of a 2 year-old girl who had a severe symptomatology and persistent fever despite intravenous gammaglobulin. Two years later she presented right hemiparesia and headache, with data from CAT and MRI suggestive of brain mass and deviation of the midline, secondary to left frontoparietal haemorrhage that was treated with a craniotomy. She was discharged on prednisone, ASA and rehabilitation.
authors.affiliation: Servicio de InmunologÌa ClÌnica, Instituto Nacional de PediatrÌa, MÈxico D.F.
authors.forename: Marco Antonio
authors.initials: MA
authors.lastname: Yamazaki-Nakashimada
authors.forename: Francisco
authors.initials: F
authors.lastname: Rivas-Larrauri
authors.forename: Adriana
authors.initials: A
authors.lastname: Alcántara-Salinas
authors.forename: Victor
authors.initials: V
authors.lastname: Hernández-Bautista
authors.forename: Ana Luisa
authors.initials: AL
authors.lastname: Rodríguez-Lozano
mesh_terms: D002675:Child, Preschool; D005260:Female; D006801:Humans; D020300:Intracranial Hemorrhages / Q000209:etiology*; D009080:Mucocutaneous Lymph Node Syndrome / Q000150:complications*