Delayed diagnosis of Kawasaki syndrome and thrombosis of a medium-sized aneurysm of the anterior descending coronary artery: Case report and literature review

Gabriella De Rosa, Maria Giuseppina Cefalo, Riccardo Marano, Marco Piastra, Angelica Bibiana Delogu, Donato Rigante

Research output: Contribution to journalArticlepeer-review

Abstract

A 7-year-old child was first admitted for persistent fever of 15-day duration and suspected meningitis. Kawasaki syndrome was lately diagnosed upon the recognition of an extensive diffuse coronary artery damage characterized by medium-sized aneurysms of the epicardial vessels. An eccentric thrombus along the inferior wall of the left anterior descending artery suspected at transthoracic echocardiography was confirmed by coronary computed tomography angiography scan, without significant segmental stenosis. Strict cardiac surveillance and anticoagulant therapy were maintained, and no ischemic complications occurred at a short-term follow-up. This report emphasizes that thrombosis can be observed even in medium-sized aneurysms when the diagnosis of Kawasaki syndrome is delayed.

Original languageEnglish
Pages (from-to)809-814
Number of pages6
JournalRheumatology International
Volume32
Issue number3
DOIs
Publication statusPublished - Mar 2012

Keywords

  • Coronary artery aneurysm
  • Kawasaki syndrome
  • Thrombosis

ASJC Scopus subject areas

  • Rheumatology
  • Immunology
  • Immunology and Allergy

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