Atypical Kawasaki Disease in an Adolescent with Multivisceral Involvement

Kawasaki disease (KD) is a vasculitis mostly seen in children aged less than 5 years. It can involve different organs and tissues. Its diagnosis is based on the clinical criteria of the American Heart Association (AHA). We report a case of a Moroccan adolescent with an atypical presentation of KD in...

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Main Authors: Zohair El Haddar, Aziza El Ouali, Ayad Ghanam, Maria Rkain, Noufissa Benajiba, Abdeladim Babakhouya
Format: Article
Language:English
Published: Wiley 2021-01-01
Series:Case Reports in Pediatrics
Online Access:http://dx.doi.org/10.1155/2021/8941847
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author Zohair El Haddar
Aziza El Ouali
Ayad Ghanam
Maria Rkain
Noufissa Benajiba
Abdeladim Babakhouya
author_facet Zohair El Haddar
Aziza El Ouali
Ayad Ghanam
Maria Rkain
Noufissa Benajiba
Abdeladim Babakhouya
author_sort Zohair El Haddar
collection DOAJ
description Kawasaki disease (KD) is a vasculitis mostly seen in children aged less than 5 years. It can involve different organs and tissues. Its diagnosis is based on the clinical criteria of the American Heart Association (AHA). We report a case of a Moroccan adolescent with an atypical presentation of KD initially treated as typhoid fever. Gastrointestinal, renal, and pulmonary signs were the main clinical findings that made the diagnosis of KD challenging and delayed. The consequence was a severe cardiac damage with myocarditis and coronary artery dilation. KD is uncommon in adolescents, and it is important to recognize the atypical forms and the different presentations of KD in order to prevent the delay of diagnosis and treatment, and hence the cardiac complications.
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series Case Reports in Pediatrics
spelling doaj-art-9f49ed4945bb4251826623ca01c7c5202025-08-20T02:18:32ZengWileyCase Reports in Pediatrics2090-68032090-68112021-01-01202110.1155/2021/89418478941847Atypical Kawasaki Disease in an Adolescent with Multivisceral InvolvementZohair El Haddar0Aziza El Ouali1Ayad Ghanam2Maria Rkain3Noufissa Benajiba4Abdeladim Babakhouya5Department of Pediatrics, Mohammed VI University Hospital, Oujda, MoroccoDepartment of Pediatrics, Mohammed VI University Hospital, Oujda, MoroccoDepartment of Pediatrics, Mohammed VI University Hospital, Oujda, MoroccoDepartment of Pediatrics, Mohammed VI University Hospital, Oujda, MoroccoDepartment of Pediatrics, Mohammed VI University Hospital, Oujda, MoroccoDepartment of Pediatrics, Mohammed VI University Hospital, Oujda, MoroccoKawasaki disease (KD) is a vasculitis mostly seen in children aged less than 5 years. It can involve different organs and tissues. Its diagnosis is based on the clinical criteria of the American Heart Association (AHA). We report a case of a Moroccan adolescent with an atypical presentation of KD initially treated as typhoid fever. Gastrointestinal, renal, and pulmonary signs were the main clinical findings that made the diagnosis of KD challenging and delayed. The consequence was a severe cardiac damage with myocarditis and coronary artery dilation. KD is uncommon in adolescents, and it is important to recognize the atypical forms and the different presentations of KD in order to prevent the delay of diagnosis and treatment, and hence the cardiac complications.http://dx.doi.org/10.1155/2021/8941847
spellingShingle Zohair El Haddar
Aziza El Ouali
Ayad Ghanam
Maria Rkain
Noufissa Benajiba
Abdeladim Babakhouya
Atypical Kawasaki Disease in an Adolescent with Multivisceral Involvement
Case Reports in Pediatrics
title Atypical Kawasaki Disease in an Adolescent with Multivisceral Involvement
title_full Atypical Kawasaki Disease in an Adolescent with Multivisceral Involvement
title_fullStr Atypical Kawasaki Disease in an Adolescent with Multivisceral Involvement
title_full_unstemmed Atypical Kawasaki Disease in an Adolescent with Multivisceral Involvement
title_short Atypical Kawasaki Disease in an Adolescent with Multivisceral Involvement
title_sort atypical kawasaki disease in an adolescent with multivisceral involvement
url http://dx.doi.org/10.1155/2021/8941847
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