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Bilateral sterile subdural effusion in Kawasaki disease-A case report
Kawasaki disease is an acute febrile condition that causes a self-limiting medium vessel systemic vasculitis and whose pathophysiological pathways are still not completely understood. Coronary arteries are the most affected, but inflammation can develop in all medium-sized arteries, with various org...
Autores principales: | , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Frontiers Media S.A.
2022
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9535611/ https://www.ncbi.nlm.nih.gov/pubmed/36210955 http://dx.doi.org/10.3389/fped.2022.990544 |
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author | Nicolescu, Corina Ramona Duperril, Marie Stephan, Jean-Louis |
author_facet | Nicolescu, Corina Ramona Duperril, Marie Stephan, Jean-Louis |
author_sort | Nicolescu, Corina Ramona |
collection | PubMed |
description | Kawasaki disease is an acute febrile condition that causes a self-limiting medium vessel systemic vasculitis and whose pathophysiological pathways are still not completely understood. Coronary arteries are the most affected, but inflammation can develop in all medium-sized arteries, with various organs and tissues being involved. Kawasaki disease-related neurological involvement varies in terms of clinical expression and severity. Herein, we describe an unusual neurological complication of Kawasaki disease in a 5-year-old girl. The progression of the disease was biphasic. Kawasaki disease was diagnosed on the 8th day after symptoms onset and treated by intravenous immunoglobulins, with prompt clinical regression but a less favorable biological response (persistent inflammation with hypoalbuminemia). Two weeks later, headaches and lethargy developed, and a bilateral subdural collection was identified on cerebral imaging. Subsequently, her progress was uneventful, with no residual coronary abnormalities and complete resorption of the subdural collection. Bilateral subdural collection, exceptionally reported, could be discussed as a clinical expression of systemic inflammatory vasculitis that characterizes Kawasaki disease. |
format | Online Article Text |
id | pubmed-9535611 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2022 |
publisher | Frontiers Media S.A. |
record_format | MEDLINE/PubMed |
spelling | pubmed-95356112022-10-07 Bilateral sterile subdural effusion in Kawasaki disease-A case report Nicolescu, Corina Ramona Duperril, Marie Stephan, Jean-Louis Front Pediatr Pediatrics Kawasaki disease is an acute febrile condition that causes a self-limiting medium vessel systemic vasculitis and whose pathophysiological pathways are still not completely understood. Coronary arteries are the most affected, but inflammation can develop in all medium-sized arteries, with various organs and tissues being involved. Kawasaki disease-related neurological involvement varies in terms of clinical expression and severity. Herein, we describe an unusual neurological complication of Kawasaki disease in a 5-year-old girl. The progression of the disease was biphasic. Kawasaki disease was diagnosed on the 8th day after symptoms onset and treated by intravenous immunoglobulins, with prompt clinical regression but a less favorable biological response (persistent inflammation with hypoalbuminemia). Two weeks later, headaches and lethargy developed, and a bilateral subdural collection was identified on cerebral imaging. Subsequently, her progress was uneventful, with no residual coronary abnormalities and complete resorption of the subdural collection. Bilateral subdural collection, exceptionally reported, could be discussed as a clinical expression of systemic inflammatory vasculitis that characterizes Kawasaki disease. Frontiers Media S.A. 2022-09-12 /pmc/articles/PMC9535611/ /pubmed/36210955 http://dx.doi.org/10.3389/fped.2022.990544 Text en Copyright © 2022 Nicolescu, Duperril and Stephan. https://creativecommons.org/licenses/by/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms. |
spellingShingle | Pediatrics Nicolescu, Corina Ramona Duperril, Marie Stephan, Jean-Louis Bilateral sterile subdural effusion in Kawasaki disease-A case report |
title | Bilateral sterile subdural effusion in Kawasaki disease-A case report |
title_full | Bilateral sterile subdural effusion in Kawasaki disease-A case report |
title_fullStr | Bilateral sterile subdural effusion in Kawasaki disease-A case report |
title_full_unstemmed | Bilateral sterile subdural effusion in Kawasaki disease-A case report |
title_short | Bilateral sterile subdural effusion in Kawasaki disease-A case report |
title_sort | bilateral sterile subdural effusion in kawasaki disease-a case report |
topic | Pediatrics |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9535611/ https://www.ncbi.nlm.nih.gov/pubmed/36210955 http://dx.doi.org/10.3389/fped.2022.990544 |
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