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Kawasaki disease shock syndrome complicated with bilateral lung consolidation in a child: A case report
INTRODUCTION: Kawasaki disease (KD) is a systemic inflammatory disease. Standard imaging features of KD include interstitial and lobular inflammatory lesions in the lungs, while KD shock syndrome (KDSS), complicated with substantial consolidation and atelectasis in the lung, is rarely reported. PATI...
Autores principales: | , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Wolters Kluwer Health
2020
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7373499/ https://www.ncbi.nlm.nih.gov/pubmed/32702840 http://dx.doi.org/10.1097/MD.0000000000020998 |
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author | Song, Yue Wei, Wuran Liu, Lan Wang, Yibing Shi, Xiaoqing Li, Li |
author_facet | Song, Yue Wei, Wuran Liu, Lan Wang, Yibing Shi, Xiaoqing Li, Li |
author_sort | Song, Yue |
collection | PubMed |
description | INTRODUCTION: Kawasaki disease (KD) is a systemic inflammatory disease. Standard imaging features of KD include interstitial and lobular inflammatory lesions in the lungs, while KD shock syndrome (KDSS), complicated with substantial consolidation and atelectasis in the lung, is rarely reported. PATIENTS CONCERNS: Herein, we report a single case of a 5-year-old female patient who manifested KDSS on the seventh day of the course of KD. Chest enhanced computed tomography indicated large-area consolidation in the lower lobes of the bilateral lungs. DIAGNOSIS: The patient was diagnosed with KDSS complicated with non-infective lung consolidation. INTERVENTIONS: The patient received human intravenous immunoglobulin (2 g/kg) and aspirin (30–50 mg/kg(.)d), methylprednisolone, a vasoactive agent, and albumin. Infective factors were excluded. OUTCOMES: The consolidation in the lower lobe of the bilateral lungs was completely recovered after 3 days of treatment. CONCLUSIONS: Children with KDSS may present with pulmonary lesions such as substantial consolidation and atelectasis; thus, infective factors should be excluded. If there is no etiological evidence, antibiotics should be used with caution. |
format | Online Article Text |
id | pubmed-7373499 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2020 |
publisher | Wolters Kluwer Health |
record_format | MEDLINE/PubMed |
spelling | pubmed-73734992020-08-05 Kawasaki disease shock syndrome complicated with bilateral lung consolidation in a child: A case report Song, Yue Wei, Wuran Liu, Lan Wang, Yibing Shi, Xiaoqing Li, Li Medicine (Baltimore) 6200 INTRODUCTION: Kawasaki disease (KD) is a systemic inflammatory disease. Standard imaging features of KD include interstitial and lobular inflammatory lesions in the lungs, while KD shock syndrome (KDSS), complicated with substantial consolidation and atelectasis in the lung, is rarely reported. PATIENTS CONCERNS: Herein, we report a single case of a 5-year-old female patient who manifested KDSS on the seventh day of the course of KD. Chest enhanced computed tomography indicated large-area consolidation in the lower lobes of the bilateral lungs. DIAGNOSIS: The patient was diagnosed with KDSS complicated with non-infective lung consolidation. INTERVENTIONS: The patient received human intravenous immunoglobulin (2 g/kg) and aspirin (30–50 mg/kg(.)d), methylprednisolone, a vasoactive agent, and albumin. Infective factors were excluded. OUTCOMES: The consolidation in the lower lobe of the bilateral lungs was completely recovered after 3 days of treatment. CONCLUSIONS: Children with KDSS may present with pulmonary lesions such as substantial consolidation and atelectasis; thus, infective factors should be excluded. If there is no etiological evidence, antibiotics should be used with caution. Wolters Kluwer Health 2020-07-17 /pmc/articles/PMC7373499/ /pubmed/32702840 http://dx.doi.org/10.1097/MD.0000000000020998 Text en Copyright © 2020 the Author(s). Published by Wolters Kluwer Health, Inc. http://creativecommons.org/licenses/by/4.0 This is an open access article distributed under the Creative Commons Attribution License 4.0 (CCBY), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. http://creativecommons.org/licenses/by/4.0 |
spellingShingle | 6200 Song, Yue Wei, Wuran Liu, Lan Wang, Yibing Shi, Xiaoqing Li, Li Kawasaki disease shock syndrome complicated with bilateral lung consolidation in a child: A case report |
title | Kawasaki disease shock syndrome complicated with bilateral lung consolidation in a child: A case report |
title_full | Kawasaki disease shock syndrome complicated with bilateral lung consolidation in a child: A case report |
title_fullStr | Kawasaki disease shock syndrome complicated with bilateral lung consolidation in a child: A case report |
title_full_unstemmed | Kawasaki disease shock syndrome complicated with bilateral lung consolidation in a child: A case report |
title_short | Kawasaki disease shock syndrome complicated with bilateral lung consolidation in a child: A case report |
title_sort | kawasaki disease shock syndrome complicated with bilateral lung consolidation in a child: a case report |
topic | 6200 |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7373499/ https://www.ncbi.nlm.nih.gov/pubmed/32702840 http://dx.doi.org/10.1097/MD.0000000000020998 |
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