[Home ] [Archive]   [ فارسی ]  
:: Main :: About :: Current Issue :: Archive :: Search :: Submit :: Contact ::
Main Menu
Home::
Journal Information::
About the Journal
Aims and Scope
Content Coverage
Conflict of Interest
Publication Ethics
Editorial Board::
Executive Members::
Instruction to Authors::
Peer Review::
Articles Archive::
Current Issue
All Issues
Indexing Databases::
Contact Us::
Contact Us
Contact Form
Site Facilities::
Search contents
::
Search in website

Advanced Search
Receive site information
Enter your Email in the following box to receive the site news and information.
:: Volume 24, Issue 1 (3-2022) ::
J Gorgan Univ Med Sci 2022, 24(1): 100-104 Back to browse issues page
Giant Aneurysm of Left Coronary Artery of 18-Month-Old Infant: A Case Report
Hassan Esmaeili * 1, Fatemeh Cheraghali2 , Zohreh Akbari Jokar3
1- Assistant Professor of Pediatric Cardiology, Gorgan Congenital Malformations Research Center, Department of Pediatrics, Taleghani Medical Educational Center, Golestan University of Medical Sciences, Gorgan, Iran. , he_md1972@yahoo.com
2- Assistant Professor, Department of Pediatrics, Faculty of Medicine, Golestan University of Medical Sciences, Gorgan, Iran.
3- Senior Resident of Pediatrics, Taleghani Medical Education Center, Golestan University of Medical Sciences, Gorgan, Iran.
Abstract:   (3066 Views)
Kawasaki disease is a medium-size vasculitis with peak incidence among infants of 9 to 11 month age. This case report represents a female infant of 18-month age whom was admitted to the Taleghani Pediatric Center of Gorgan, Iran; with referral for admission due to persistent fever for roughly 2 weeks despite various outpatient treatments. Upon the admission, Echocardiographic study was performed to assess whether the patient fulfils cardiac criteria of Kawaski disease which was consistent with the diagnosis and also positive for serious coronary complications in the infant. General condition of the patient improved as the treatment with both IVIG and Corticosteroids was initiated and carditis seemed to vanish in echocardiographic studies but as expected aneurysmal growth can last for over 80 days and in this case serial echocardiographic studies confirmed the formation of giant coronary aneurysms. Diagnosis of Kawasaki disease is based on persistent fever and consistency with clinical criteria and the main purpose of this case report was to emphasize the need to consider this disease in cases of persistent fever to avoid the serious following complications.
Keywords: Infant [MeSH], Coronary Aneurysm [MeSH], Kawasaki Disease [MeSH]
Article ID: Vol24-14
Full-Text [PDF 402 kb]   (12086 Downloads)    
Type of Study: Case Report | Subject: Pediatric
References
1. Kliegman RM, Stanton B, Geme JS, Schor NF. Nelson Textbook of Pediatrics Elsevier. 20th ed. Amsterdam: Elsevier. 2017; p: 1209.
2. Lin MT, Wu MH. The global epidemiology of Kawasaki disease: Review and future perspectives. Glob Cardiol Sci Pract. 2017 Oct; 2017(3): e201720. DOI: 10.21542/gcsp.2017.20 [DOI] [PubMed]
3. Ono R, Hasegawa D. Prevalence and characteristics of Kawasaki disease before and during the COVID-19 pandemic. World J Pediatr. 2021 Apr; 17(2): 215-17. DOI: 10.1007/s12519-021-00412-5 [DOI] [PubMed]
4. Toubiana J, Cohen JF, Brice J, Poirault C, Bajolle F, Curtis W, et al. Distinctive Features of Kawasaki Disease Following SARS-CoV-2 Infection: a Controlled Study in Paris, France. J Clin Immunol. 2021 Apr; 41(3): 526-35. DOI: 10.1007/s10875-020-00941-0 [DOI] [PubMed]
5. Kabeerdoss J, Pilania RK, Karkhele R, Kumar TS, Danda D, Singh S. Severe COVID-19, multisystem inflammatory syndrome in children, and Kawasaki disease: immunological mechanisms, clinical manifestations and management. Rheumatol Int. 2021 Jan; 41(1): 19-32. DOI: 10.1007/s00296-020-04749-4 [DOI] [PubMed]
6. Sonobe T, Kiyosawa N, Tsuchiya K, Aso S, Imada Y, Imai Y, et al. Prevalence of coronary artery abnormality in incomplete Kawasaki disease. Pediatr Int. 2007 Aug; 49(4): 421-26. DOI: 10.1111/j.1442-200X.2007.02396.x [DOI] [PubMed]
7. Baer AZ, Rubin LG, Shapiro CA, Sood SK, Rajan S, Shapir Y, et al. Prevalence of coronary artery lesions on the initial echocardiogram in Kawasaki syndrome. Arch Pediatr Adolesc Med. 2006 Jul; 160(7): 686-90. DOI: 10.1001/archpedi.160.7.686 [DOI] [PubMed]
8. Dionne A, Burns JC, Dahdah N, Tremoulet AH, Gauvreau K, de Ferranti SD, et al. Treatment Intensification in Patients With Kawasaki Disease and Coronary Aneurysm at Diagnosis. Pediatrics. 2019 Jun; 143(6): e20183341. DOI: 10.1542/peds.2018-3341 [DOI] [PubMed]
9. Friedman KG. Kawasaki Disease. In: Lai WW, Mertens LL, Cohen MS. Echocardiography in Pediatric and Congenital Heart Disease: From Fetus to Adult. 3rd ed. New Jersey: Wiley-Blackwell. 2021. DOI: 10.1002/9781119612858.ch39 [DOI]
10. Zhu F, Ang JY. 2021 Update on the Clinical Management and Diagnosis of Kawasaki Disease. Curr Infect Dis Rep. 2021; 23(3): 3. ID: covidwho-1084775 [View at Publisher]
11. Kim SH, Kim JY, Kim GB, Yu JJ, Choi JW. Diagnosis of Coronary Artery Abnormalities in Patients with Kawasaki Disease According to Established Guidelines and Z Score Formulas. J Am Soc Echocardiogr. 2021 Jun; 34(6): 662-72.e3. DOI: 10.1016/j.echo.2021.01.002 [DOI] [PubMed]
12. Tsuda E, Hashimoto S. Time Course of Coronary Artery Aneurysms in Kawasaki Disease. J Pediatr. 2021 Mar; 230: 133-39.e2. DOI: 10.1016/j.jpeds.2020.12.004 [DOI] [PubMed]
13. Tsuda E, Tsujii N, Hayama Y. Cardiac Events and the Maximum Diameter of Coronary Artery Aneurysms in Kawasaki Disease. J Pediatr. 2017 Sep; 188: 70-74.e1. DOI: 10.1016/j.jpeds.2017.05.055 [DOI] [PubMed]
Send email to the article author

XML   Persian Abstract   Print

Download citation:
BibTeX | RIS | EndNote | Medlars | ProCite | Reference Manager | RefWorks
Send citation to:
Esmaeili H, Cheraghali F, Akbari Jokar Z. Giant Aneurysm of Left Coronary Artery of 18-Month-Old Infant: A Case Report. J Gorgan Univ Med Sci 2022; 24 (1) :100-104
URL: http://goums.ac.ir/journal/article-1-4090-en.html
Rights and permissions
Creative Commons License This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
Volume 24, Issue 1 (3-2022) Back to browse issues page
مجله دانشگاه علوم پزشکی گرگان Journal of Gorgan University of Medical Sciences
Persian site map - English site map - Created in 0.05 seconds with 36 queries by YEKTAWEB 4660
Creative Commons License
This work is licensed under a Creative Commons — Attribution-NonCommercial 4.0 International (CC BY-NC 4.0)