title: Kawasaki Disease: Diagnosis and Follow-Up by CT Coronary Angiography with the Use of 128-Slice Dual Source Dual Energy Scanner. A Case Report.
abstract: BACKGROUND
  Kawasaki Disease (KD) is a rare acute febrile illness due to multi-organ vasculitis. It most often affects children under five years of age. Coronary artery aneurysms are seen in about 25% of children with KD. Selective invasive coronary angiography was considered to be the gold standard for diagnosis and follow-up of coronary artery aneurysms, thrombosis and stenosis in patients with KD. Echocardiography is a non-invasive tool for imaging of this condition but it does have some limitations. Recently, a high-quality multislice CT coronary angiography has been advocated in the diagnosis of KD.
  
  
  METHODS
  We report a case of a 5-year-old boy who was diagnosed with Kawasaki disease and followed up by CT coronary angiography, which provided required excellent imaging findings in the terms of the number, size and location of coronary aneurysms.
  
  
  CONCLUSIONS
  Based on imaging results of our case it can be stated that high-quality CT coronary angiography with the use of multi-slice dual source ultra-fast scanner can be considered a better and safer non-invasive diagnostic tool, an alternative to invasive catheter selective coronary angiography in the diagnosis and long-term follow-up of patients with KD, especially when echocardiographic images are limited or technically challenging.
authors.affiliation: Clinical Imaging Department, Heart Hospital, Hamad Medical Corporation, Doha, Qatar.
authors.forename: Abdel-Naser
authors.initials: AN
authors.lastname: Ghareep
authors.affiliation: Clinical Imaging Department, Heart Hospital, Hamad Medical Corporation, Doha, Qatar.
authors.forename: Maryam
authors.initials: M
authors.lastname: Alkuwari
authors.affiliation: Clinical Imaging Department, Heart Hospital, Hamad Medical Corporation, Doha, Qatar.
authors.forename: Francis
authors.initials: F
authors.lastname: Willington
authors.affiliation: Clinical Imaging Department, National Center for Cancer Care and Research, Hamad Medical Corporation, Doha, Qatar.
authors.forename: Wojciech
authors.initials: W
authors.lastname: Szmigielski
keywords: Coronary Aneurysm; Coronary Angiography; Diagnosis; Mucocutaneous Lymph Node Syndrome; Multidetector Computed Tomography; Tomography, Spiral Computed