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Capillary leak leading to shock in Kawasaki disease without myocardial dysfunction

  • Julia Natterer (a1), Marie-Hélène Perez (a1) and Stefano Di Bernardo (a2)


Kawasaki disease is an acute vasculitis of childhood. Its clinical presentation is well known, and coronary artery aneurysms are classical complications. Shock and pleural or pericardiac effusion are rare presentations of the disease. In intensive care units, the disease may be mistaken for septic shock or toxic shock syndrome. Owing to the fact that immunoglobulin therapy improves the course of the disease, especially if given early, and thus the diagnosis should not be delayed.


Corresponding author

Correspondence to: M.-H. Perez, Pediatric Intensive Care, Department of Pediatrics, University Hospital and University of Lausanne, CHUV, Rue du Bugnon 46, 1011 Lausanne, Switzerland. Tel: 0041 79 556 40 82; Fax: 0041 21 314 37 59; E-mail:


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Capillary leak leading to shock in Kawasaki disease without myocardial dysfunction

  • Julia Natterer (a1), Marie-Hélène Perez (a1) and Stefano Di Bernardo (a2)


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