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Capillary leak leading to shock in Kawasaki disease without myocardial dysfunction

Published online by Cambridge University Press:  21 September 2011

Julia Natterer ,
Marie-Hélène Perez  and
Stefano Di Bernardo
Julia Natterer
Affiliation:
Pediatric Intensive Care Unit, Department of Pediatrics, University Hospital and University of Lausanne, CHUV, Switzerland
Marie-Hélène Perez*
Affiliation:
Pediatric Intensive Care Unit, Department of Pediatrics, University Hospital and University of Lausanne, CHUV, Switzerland
Stefano Di Bernardo
Affiliation:
Pediatric Cardiology Unit, Department of Pediatrics, University Hospital and University of Lausanne, CHUV, Switzerland
*
Correspondence to: M.-H. Perez, Pediatric Intensive Care, Department of Pediatrics, University Hospital and University of Lausanne, CHUV, Rue du Bugnon 46, 1011 Lausanne, Switzerland. Tel: 0041 79 556 40 82; Fax: 0041 21 314 37 59; E-mail: marie-helene.perez@chuv.ch
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Abstract

Kawasaki disease is an acute vasculitis of childhood. Its clinical presentation is well known, and coronary artery aneurysms are classical complications. Shock and pleural or pericardiac effusion are rare presentations of the disease. In intensive care units, the disease may be mistaken for septic shock or toxic shock syndrome. Owing to the fact that immunoglobulin therapy improves the course of the disease, especially if given early, and thus the diagnosis should not be delayed.

Keywords

Shockintensive carevasculitis
Type
Brief Report
Information
Cardiology in the Young , Volume 22 , Issue 3 , June 2012 , pp. 349 - 352
Copyright
Copyright © Cambridge University Press 2012

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