一名未被诊断出患有川崎病的年轻男子因冠状动脉瘤导致心肌梗死。
Myocardial infarction in a young man due to coronary artery aneurysms after an undiagnosed Kawasaki disease.
作者信息
Mirza Sumbul Javed, Mohammed Khalifa Omar, Baslaib Fahad Omar
机构信息
Department of Cardiology, Rashid Hospital, Dubai Health Authority, Dubai, United Arab Emirates.
出版信息
J Emerg Med. 2014 Jun;46(6):763-6. doi: 10.1016/j.jemermed.2013.11.082. Epub 2014 Feb 22.
BACKGROUND
Kawasaki disease usually affects infants and young children. It often goes unrecognized in adults due to varying symptoms and lack of definite diagnostic criteria.
OBJECTIVES
To describe the potential for acute myocardial infarction as a complication of antecedent Kawasaki Disease (KD).
CASE REPORT
We describe a case of a 19-year-old man who presented to the Emergency Department (ED) with an acute myocardial infarction that was subsequently determined to be the result of previously untreated KD.
CONCLUSION
Kawasaki disease can cause coronary complications in a teenager. A high level of suspicion in the ED can help in proper management of these patients.
背景
川崎病通常影响婴幼儿。由于症状各异且缺乏明确的诊断标准，在成人中该病常未被识别。
目的
描述急性心肌梗死作为先前川崎病（KD）并发症的可能性。
病例报告
我们描述了一名19岁男性的病例，他因急性心肌梗死就诊于急诊科（ED），随后被确定为先前未治疗的KD所致。
结论
川崎病可在青少年中引起冠状动脉并发症。急诊科高度怀疑有助于对这些患者进行妥善管理。
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