title: Kawasaki disease shock syndrome: case report.
abstract: Kawasaki disease (KD) is a systemic vasculitis which presents with stable vital signs. Shock rarely occurs in such cases, but it may occur in the acute phase of KD. This report describes a 7-year-old boy with KD shock syndrome (KDSS) who presented with persistent fever, injected conjunctiva, a polymorphic skin rash, echocardiography indicating coronary artery dilatation, and shock. The patient's haemodynamic status markedly improved with immunoglobulin therapy. Early recognition of KDSS can be challenging; however, delay in diagnosis can increase the risk of coronary artery abnormalities and death.
authors.affiliation: Departments of Family Medicine & Community Health, Tri-Service General Hospital, National Defense Medical Center, Taipei, Taiwan
authors.forename: Hui-Fang
authors.initials: HF
authors.lastname: Yang
authors.affiliation: Departments of Family Medicine & Community Health, Tri-Service General Hospital, National Defense Medical Center, Taipei, Taiwan
authors.forename: Wei-Liang
authors.initials: WL
authors.lastname: Chen
authors.affiliation: Pediatrics, Tri-Service General Hospital, National Defense Medical Center, Taipei, Taiwan
authors.forename: Chia-Ning
authors.initials: CN
authors.lastname: Chang
authors.affiliation: Pediatrics, Tri-Service General Hospital, National Defense Medical Center, Taipei, Taiwan
authors.forename: Shyi-Jou
authors.initials: SJ
authors.lastname: Chen
authors.affiliation: Pediatrics, Tri-Service General Hospital, National Defense Medical Center, Taipei, Taiwan
authors.forename: Hueng-Chuen
authors.initials: HC
authors.lastname: Fan
mesh_terms: D002648:Child; D003937:Diagnosis, Differential; D004452:Echocardiography; D006801:Humans; D016756:Immunoglobulins, Intravenous / Q000627:therapeutic use*; D008297:Male; D009080:Mucocutaneous Lymph Node Syndrome / Q000150:complications* / Q000175:diagnosis / Q000188:drug therapy; D012769:Shock / Q000150:complications* / Q000188:drug therapy
chemical_list: D016756:Immunoglobulins, Intravenous
keywords: Immunoglobulin; Kawasaki disease; Shock