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ISSN 2683-1678 (Print)
Órgano Oficial de la Sociedad
Latinoamericana de lnfectología Pediátrica.
Órgano de la Asociación Mexicana de
Infectología Pediátrica, A.C.
Órgano difusor de la Sociedad Española
de lnfectología

2018, Number 3

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Rev Latin Infect Pediatr 2018; 31 (3)

Cardiac’s complications in mexican childs with Kawasaki disease. Multicentric study of the Kawasaki network of Mexico

Coria LJJ, Ramírez BD, Sotelo CN, Díaz LJL, Enríquez CO, Unda GJJ, Ramírez RR, Martínez ML, Díaz TA, Jiménez JRN, Reyes LA, Enciso PS, Gutiérrez CM

Language: Spanish
References: 22
Page: 110-117
PDF size: 194.28 Kb.


ABSTRACT

Objectives: To describe the clinical features and progression of cardiac complications in children with Kawasaki disease. Material and methods: We reviewed clinical records of children with this diagnosis seen in nine hospitals in Mexico from January 2008 to December 2012 with some cardiac complication. Results: Out of 179 cases, 86 presented cardiac complications. Male (65%) versus female (35%) predominate, with a 2:1 ratio. The age range varies from 5 to 213 months. Kawasaki’s kind corresponded 68.6% to the classic and 31.4% to the non-classical. Of the coronary complications that stood out: coronary ectasia, 82 (95.3%) events, and aneurysmal lesions in 75 patients (87.2%). A total of 56 cases (65.11%) of non-coronary cases were registered, highlighting pericardial effusion, followed by valvulitis in 19 (22%) and 15 (17.4%) patients, among others. Analysis: There was a higher percentage of aneurysmal complications in our series than in the literature, but the evolution to resolution or regression behaved as described in the literature. Unlike the non-coronary complications that were minor in our analysis. Conclusions: Cardiac complications represent the main cause of morbidity and mortality in both the acute and subacute phases of the disease, which is why echocardiograms and electrocardiograms are important tools for early and timely diagnosis when there is a suspicion of Kawasaki.


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