Kawasaki Disease Presented with Meningitis in an Egyptian Adolescent
Journal Title: Journal of Case Reports and Studies - Year 2015, Vol 3, Issue 6
Abstract
Kawasaki disease is an acute vasculitis of childhood. There is varying incidence among ethnic groups with higher rates among Asians. An Egyptian male adolescent 12 years old presented with fever, loss of appetite, nausea and vomiting for 3 days. He had convulsion on admission. Physical examination revealed positive meningeal signs. Treatment of meningitis was started with no response. On day 6 of fever maculopapular skin rash appeared as well as bilateral non purulent conjunctivitis. Laboratory tests were in support for incomplete Kawasaki disease but Echocardiography was normal. Intravenous immunoglobulin and aspirin were started with marvelous response. On 12th day of fever, skin desquamation appeared mainly on perineal area and on tips of fingers and toes. The patient was classified as risk level I, and his family was advised for counseling every 5 years. High index of suspicious is required for early diagnosis and management of Kawasaki disease irrespective of the clinical presentation or ethnicity. Early diagnosis can be a good prognostic index.
Authors and Affiliations
Attia TH
Keywords
Related Articles
- EP ID EP583191
- DOI 10.15744/2348-9820.3.602
- Views 86
- Downloads 0
Closed Traumatic Avulsion of Extensor Digitorium Communis and Extensor Indicis Proprius of Index Finger at the Musculotendinous Junction
Introduction: Closed traumatic rupture of extensor tendons of the fingers at the musculotendinous is rare. In fact the common sites of a closed rupture are distal attachment at the distal phalanx as well as at the attach...
Bullous Lichen Planus: A Case Report with Review of Literature
Oral lichen planus is a chronic inflammatory mucocutaneous disease which frequently involves the oral mucosa. A 48-year-old male patient with the chief complaint of burning sensation in bilateral buccal mucosa, upper and...
Unusual Cause of Hemiparesis in a Child
A 12 years old child presented to a tertiary hospital in India with weakness and poor growth of the left side of the body since birth (Figure 1). He was born at full gestation through a normal delivery and cried after a...
A Traumatic Context Can Hide a Sexual Rape
Aeric syndrome during a multiple trauma reflects the severity of this latter, which made mention to extra thoracic or intra thoracic lesion. This requires a good diagnostic and therapeutic strategy. We report the case of...
Langerhans Cell Histiocytosis in a Patient with Lynch Syndrome (Hereditary Non Polyposis Colorectal Cancer)
A fifty three year old white female smoker with Lynch Syndrome was receiving adjuvant chemotherapy for node positive caecal adenocarcinoma. Interval investigations demonstrated a second primary gastric cancer with bilate...