Aljalila Children's specialty hospital, Dubai Health Care City, Dubai, UAE.
Sharjah institute for Medical Research, Sharjah, UAE. PoBox, 7226, Dubai, UAE.
BMC Pediatr. 2019 Aug 23;19(1):295. doi: 10.1186/s12887-019-1662-9.
Kawasaki disease shock syndrome is a relatively new and rare complication of Kawasaki disease first described in 2009.
This report describes a two-year-old Arab descent female presenting with a history of high-grade fever of 2 days duration with non-specific signs of viral illness and erythematous rash. The patients' condition deteriorated rapidly requiring admission to intensive care unit. In the intensive care unit, she developed a right upper quadrant mass that was diagnosed as hydrops of the gallbladder by ultrasonography. After one dose of intravenous immunoglobulin, the patient started to recover and was transferred out of intensive care after 2 days.
Among the complications of Kawasaki disease, shock syndrome is rare and usually will have deleterious results if not diagnosed and managed promptly.
川崎病休克综合征是川崎病的一种相对较新且罕见的并发症,于 2009 年首次描述。
本报告描述了一名两岁的阿拉伯裔女性,有两天高热病史,伴有非特异性病毒感染和红斑皮疹。患者病情迅速恶化,需要入住重症监护病房。在重症监护病房,她出现右上象限肿块,超声诊断为胆囊积水。静脉注射免疫球蛋白一剂后,患者开始恢复,两天后转入重症监护病房外。
川崎病的并发症中,休克综合征较为罕见,如果不能及时诊断和治疗,通常会产生不良后果。