Hostname: page-component-8448b6f56d-sxzjt Total loading time: 0 Render date: 2024-04-19T03:02:48.382Z Has data issue: false hasContentIssue false

Myocardial infarction in a 35-day-old infant with incomplete Kawasaki disease and chicken pox

Published online by Cambridge University Press:  16 July 2010

Lydia Kossiva*
Affiliation:
First Department of Pediatrics, “Aghia Sophia” Children’s Hospital, Athens, Greece
Marios Papadopoulos
Affiliation:
First Department of Pediatrics, “Aghia Sophia” Children’s Hospital, Athens, Greece
Evangelia Lagona
Affiliation:
First Department of Pediatrics, “Aghia Sophia” Children’s Hospital, Athens, Greece
George Papadopoulos
Affiliation:
Department of Pediatric Cardiology, “Aghia Sophia” Children’s Hospital, Athens, Greece
Corina Athanassaki
Affiliation:
First Department of Pediatrics, “Aghia Sophia” Children’s Hospital, Athens, Greece
*
Correspondence to: Lydia Kossiva 12, Kotieou str 11521 Athens, Greece. Tel: +30 210 6429289; Fax: +30 210 6469212; E-mail: lydiakossiva@hotmail.com

Abstract

Kawasaki disease is an acute febrile vasculitis of infancy and early childhood. It is uncommon in early infancy, because a significant proportion of these children do not meet the classical diagnostic criteria at this age. Infants younger than 6 months with persistent fever and some of the criteria of Kawasaki disease should always raise suspicion for Kawasaki disease early to avoid delayed diagnosis with severe cardiac complications. We present a 35-day-old infant with incomplete Kawasaki disease complicated with myocardial infarction during chicken pox.

Type
Brief Reports
Copyright
Copyright © Cambridge University Press 2010

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

1. Tzifa, A, Joashi, U, Slavik, Z. Recombinant t-PA in myocardial ischemia after switch operation. Pediatr Cardiol 2004; 25: 417420.CrossRefGoogle ScholarPubMed
2. Burns, JC, Glode, MP. Kawasaki syndrome. Lancet 2004; 364: 533544.Google Scholar
3. Burns, JC, Wiggins, JW, Towens, WH, et al. . Clinical spectrum of Kawasaki disease in infants younger than 6 months of age. J Pediatr 1986; 109: 759763.CrossRefGoogle Scholar
4. Sonobe, T, Kiyosawa, N, Tsuchiya, K, et al. . Prevalence of coronary artery abnormality in incomplete Kawasaki disease. Pediatr Int 2007; 49: 421426.CrossRefGoogle ScholarPubMed
5. Ebbeson, RL, Riley, MR, Potts, JE, Human, DG, Malleson, PN. Kawasaki disease at British Columbia’s Children’s Hospital. Paediatr Child Health 2004; 9: 466470.Google Scholar
6. Manlhiot, C, Yeung, RSM, Clarizia, NA, Chahal, N, McCrindle, BW. Kawasaki disease at the extremes of the age spectrum. Pediatrics 2009; 124: 410415.Google Scholar
7. Rowley, AH. Incomplete (atypical) Kawasaki disease. Pediatr Infect Dis J 2002; 21: 563565.Google Scholar
8. Barron, KS, Shulman, ST, Rowley, A, et al. . Report of the national institutes of health workshop on Kawasaki disease. J Rheumatol 1999; 26: 170186.Google Scholar
9. Nomura, Y, Yoshinaga, M, Masuda, K, Takei, S, Miyata, K. Maternal antibody against toxic shock syndrome toxin-1 may protect infants younger than 6 months of age from developing Kawasaki syndrome. J Infect Dis 2002; 185: 16771680.CrossRefGoogle ScholarPubMed
10. Beiser, A, Takahashi, M, Baker, AL, Sundel, RP, Newburger, J. A predictive instrument for coronary artery aneurysms in Kawasaki Disease. Am J Cardiol 1998; 81: 11161120.Google Scholar
11. Catalano-Pons, C, Giraud, C, Rozenberg, F, Meritet, JF, Lebon, P, Gendrel, D. Detection of human bocavirus in children with Kawasaki disease. Clin Microbiol Infect 2007; 13: 12201222.CrossRefGoogle ScholarPubMed
12. Turkay, S, Odemis, E, Karadag, A. Kawasaki disease onset during concomitant infections with varicella zoster and Epstein–Barr virus. J Nat Med Assoc 2006; 98: 13501351.Google ScholarPubMed
13. Guc, UB, Cengiz, N, Yildirim, SV, Uslu, Y. Cytomegalovirus infection in a patient with atypical Kawasaki disease. Rheumatol Int 2008; 28: 387389.Google Scholar