Department of Pediatrics, Taher Sfar University Hospital, Mahdia, Tunisia.
Department of Ear Nose and Throat (ENT), Taher Sfar University Hospital, Mahdia, Tunisia.
Pan Afr Med J. 2021 Jan 18;38:52. doi: 10.11604/pamj.2021.38.52.27599. eCollection 2021.
Kawasaki disease is a generalized systemic vasculitis, which primarily affects medium-sized arteries. Kawasaki disease shock syndrome is a rare but severe presentation of this disease. This report describes a case of delayed diagnosis of Kawasaki disease shock syndrome in a 13-year-old boy who presented with cervical adenophlegmon, persistent fever, injected conjunctiva, rash, and hypotension. Echocardiography revealed the presence of bilateral coronary aneurysms. Early recognition of Kawasaki disease shock syndrome can be difficult; however, delay in diagnosis and treatment can increase the risk of coronary artery disease.
川崎病是一种全身性中型血管炎，主要影响中型动脉。川崎病休克综合征是该病的一种罕见但严重的表现。本报告描述了一例 13 岁男孩川崎病休克综合征的延迟诊断病例，该男孩表现为颈部淋巴结炎、持续发热、结膜充血、皮疹和低血压。超声心动图显示双侧冠状动脉瘤。川崎病休克综合征的早期识别可能较为困难；然而，诊断和治疗的延迟会增加冠状动脉疾病的风险。
