Kawasaki Disease in a Togolese Child
Kawasaki Disease in a Togolese Child作者机构:Department of Pediatrics CHU Sylvanus Olympio University of Lomé Lomé Togo Department of Cardiology CHR Sokodé University of Kara Kara Togo Department of Pediatrics GHEF Site de Marne La Vallée Jossigny France
出 版 物:《Open Journal of Pediatrics》 (儿科学期刊(英文))
年 卷 期:2022年第12卷第2期
页 面:293-296页
学科分类:1002[医学-临床医学] 100201[医学-内科学(含:心血管病、血液病、呼吸系病、消化系病、内分泌与代谢病、肾病、风湿病、传染病)] 10[医学]
主 题:Kawasaki Disease Lympho-Cutaneous-Mucosal Syndrome Vascularity Coronary Aneurysm
摘 要:Introduction: Kawasaki disease (KD) is a severe febrile vasculitis that affects children under 5 years of age. The severity of KD is related to coronary involvement. Few cases have been reported in sub-Saharan Africa. Objective: We present a clinical observation of a Togolese infant to illustrate the typical clinical picture that every pediatrician should know. Observation: The patient was a 20-month-old infant from Togo who presented with conjunctivitis, cheilitis, stomatitis, and pharyngitis in a febrile setting. There was a satellite sub-maxillary adenopathy. There was a persistent biological inflammatory syndrome with thrombocytosis and a doppler ultrasound confirmed the diagnosis of a coronary aneurysm. Treatment was based on corticosteroid therapy and acetylsalicylic acid with success. Conclusion: KD involves cardiac complications that require rigorous and sometimes long-term monitoring to prevent death.