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sciencepg.com

Background: Kawasaki disease (KD) is an acute inflammatory vasculitis that primarily affects children under 5 years of age. Kawasaki Disease Shock Syndrome (KDSS) is a rare complication characterized by hypotension and shock. Despite being the leading cause of heart disease in developed countries, diagnosing KD is challenging due to the lack of specific pathognomonic tests. Delayed treatment can increase the risk of long-term coronary artery abnormalities in up to 25% of patients. Case presentation: A 31-month-old boy initially presented with fever, lymphadenopathy, and pharyngeal congestion. The patient was treated with antibiotics due to positive Mycoplasma IgM and elevated inflammatory markers. Despite treatment, the patient a widespread rash, ulcers, lip peeling, and orbital swelling. The patient was transferred to the Pediatric Intensive Care Unit of a second hospital as a case of suspected septic shock. The patient received Intravenous immunoglobulin and corticosteroids without a diagnosis of KD. It was not until the 23rd day of illness that KD was diagnosed, and the absence of timely diagnosis resulted in aneurysmal dilation of all major coronary arteries with aneurysmal fusiform formation. Conclusion: The case highlights the importance of early recognition and diagnosis of KD and KDSS, recommending multidisciplinary evaluation. Clinicians should consider atypical KD in children who are unresponsive to antibiotics and have persistent fever. Positive infectious serology does not exclude the diagnosis of KD. In the absence of echocardiographic markers, early treatment should be prioritized to prevent long-term cardiac damage.

ijahss.net

International Journal of Arts, Humanities & Social Science (IJAHSS) is an open access journal under IPRPD. It chooses & publishes only those papers that contain pure knowledge on these subject areas. The Journal is started with noble effort to help the researchers in their work and also to share knowledge and research ideas. All research interested scholars are given best opportunity to make world aware of their work.

ijasre.net

ijasre is a scholarly peer-reviewed, an open access multidisciplinary journal for publication of new ideas, the state of the art research results and fundamental advances in all fields of science, engineering and technology. the vision of ijasre is to publish original articles related to the current trends of research in the field of science, engineering, and technology. ijasre brings together scientists, academicians, engineers, scholars, and students of science, engineering, and technology.

ijobas.pelnus.ac.id

international journal of basic and applied science

aob.amegroups.org

Considerations on terminology and database organization for blood group genotyping data

jait.us

jait is a scientific open access journal which focuses on empirical research results and critical analysis of technology development, use, management and impacts in information technology.