[Sudden death of a young man as late sequelae complicating a pediatric disease: About a case].
In France, sudden death is responsible every year for 40,000 deaths. The most frequent etiology is cardiac disease. Atheromatous-related pathology is the most common etiology beyond 35, but cardiomyopathies and channelopathies are responsible for a significant number of deaths in young adults. Some acquired disorders can also cause sudden cardiac death. We report the case of a 17-year-old man who died suddenly after sport. Autopsy and pathological study found multiple giant coronary aneurysms. Thrombosis and fibrous scar of myocardial ischemic events were observed. These lesions were in favor of late sequelae of Kawasaki disease. Kawasaki disease is a rare but not exceptional cause of sudden cardiac death in young adults. In the lack of known clinical history, some aspects, even not specific, should evoke this diagnosis. Even in front of apparent good clinical tolerance, these sequelae require appropriate follow-up because of a significant risk of sudden death.
Service de médecine légale et droit de la santé, université d'Aix-Marseille, 264, rue Saint-Pierre, 13385 Marseille, France. Electronic address: clemence.pierry@chu-bordeaux.fr.
Clémence
C
Pierry
Service de médecine légale et droit de la santé, université d'Aix-Marseille, 264, rue Saint-Pierre, 13385 Marseille, France.
Camille
C
Franchet
Service de médecine légale et droit de la santé, université d'Aix-Marseille, 264, rue Saint-Pierre, 13385 Marseille, France; Aix-Marseille université, CNRS, EFS, ADES UMR 7268, 13916 Marseille, France.
Lucile
L
Tuchtan-Torrents
Service de médecine légale et droit de la santé, université d'Aix-Marseille, 264, rue Saint-Pierre, 13385 Marseille, France.
Céline
C
Macon
Service de médecine légale et droit de la santé, université d'Aix-Marseille, 264, rue Saint-Pierre, 13385 Marseille, France.
Julia
J
Torrents
Service de médecine légale et droit de la santé, université d'Aix-Marseille, 264, rue Saint-Pierre, 13385 Marseille, France.
Caroline
C
Capuani
Service de médecine légale et droit de la santé, université d'Aix-Marseille, 264, rue Saint-Pierre, 13385 Marseille, France; Aix-Marseille université, CNRS, EFS, ADES UMR 7268, 13916 Marseille, France.
Marie-Dominique
MD
Piercecchi-Marti
D000293:Adolescent; D016757:Death, Sudden, Cardiac / Q000209:etiology*; D006801:Humans; D008297:Male; D009080:Mucocutaneous Lymph Node Syndrome / Q000150:complications*; D013997:Time Factors
Anévrysme coronarien; Autopsie; Autopsy; Coronary aneurysm; Kawasaki disease; Maladie de Kawasaki; Mort subite; Sudden death