Misdiagnosis of incomplete Kawasaki disease in neonate: a case report and literature review

  • LIU Tonglin ,
  • ZHANG Wei ,
  • CHEN Yu ,
  • XIONG Peng
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  • 1. Department of Pediatric Intensive Care Unit, 2. Department of Ultrasound, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan 430030, Hubei, China

Received date: 2017-03-15

  Online published: 2017-03-15

Abstract

 Objective To explore the clinical features, diagnosis, and treatment of Kawasaki disease in neonates. Methods The diagnosis and treatment of incomplete Kawasaki disease in one case were retrospectively analyzed. The related literatures were reviewed. Results Male infant had persistent fever with rash at 26 days after birth. The anti-infective treatment was ineffective. No abnormality was found in the first coronary artery ultrasonography. However, coronary artery dilatation was confirmed by ultrasonography after skin peeling at fingertips. After the treatment of gamma globulin and aspirin, the symptoms of fever and rash were improved. The left dilated coronary artery returned to normal after 3 month. The size of coronary artery and the corresponding indexes were normal in 6-months, 1-year and 3 year follow-ups. Conclusion Neonatal Kawasaki disease is rare and atypical.

Cite this article

LIU Tonglin , ZHANG Wei , CHEN Yu , XIONG Peng . Misdiagnosis of incomplete Kawasaki disease in neonate: a case report and literature review[J]. Journal of Clinical Pediatrics, 2017 , 35(3) : 176 . DOI: 10.3969/j.issn.1000-3606.2017.03.005

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