2019, Number 3
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Enf Infec Microbiol 2019; 39 (3)
Kawasaki disease: unusual presentation with only fever. Barquisimeto, Venezuela. Brief report
González MAJ, Maitin GMJ, Carnevale TMM, Santana RMI
Language: Spanish
References: 22
Page: 83-85
PDF size: 153.49 Kb.
ABSTRACT
Kawasaki disease (KD) was first described in Japan by doctor T. Kawasaki in 1967, since then classic clinical manifestations
that define it, remain in force.
Patients, methods and results: prospective cohort analysis of 12 cases of children that were assessed between
January 2016 and April 2019 at the Agustín Zubillaga Hospital in Barquisimeto, Venezuela, with fever and elevation
of the values of acute phase reactants. Median age 18 months; seven of the female sex. None had the criteria for
Kawasaki disease complete. As part of their diagnostic approach, echocardiography was performed where there was
evidence of coronary alterations. The information is presented with descriptive statistic.
It is proposed that in every child under six months of age with seven days or more feverish without other
obvious clinical criteria, with positive acute phase reactants, echocardiogram should be performed, evaluate if it is
applicable to all infants regardless of age in months. In Venezuela there has been a significant change in the epidemiology
of KD, being currently more suspected and perhaps that influences the greater frequency of cases detected.
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