TY - JOUR
T1 - A Case of Adult-Onset Kawasaki Disease Shock Syndrome Complicated by Coronary Aneurysms
AU - Zazoulina, Julia
AU - Cheung, Christopher C.
AU - Hurlburt, Andrew
AU - Chahal, Daljeet
AU - Wong, Steve
N1 - Publisher Copyright:
© 2019 Canadian Cardiovascular Society
PY - 2019/7
Y1 - 2019/7
N2 - We present a case of adult-onset Kawasaki disease shock syndrome complicated by coronary aneurysms, in which profound hypotension and reduced left ventricular ejection fraction were treated successfully with intravenous immunoglobulin. The diagnosis of Kawasaki disease shock syndrome should be considered in cases of rapidly developing shock, particularly in young adults with an infectious prodrome, in whom it may be under-recognized. We advocate for early identification to minimize delays in treatment with intravenous immunoglobulin, which reverses left ventricular dysfunction and decreases risk of long-term sequelae such as coronary artery aneurysms.
AB - We present a case of adult-onset Kawasaki disease shock syndrome complicated by coronary aneurysms, in which profound hypotension and reduced left ventricular ejection fraction were treated successfully with intravenous immunoglobulin. The diagnosis of Kawasaki disease shock syndrome should be considered in cases of rapidly developing shock, particularly in young adults with an infectious prodrome, in whom it may be under-recognized. We advocate for early identification to minimize delays in treatment with intravenous immunoglobulin, which reverses left ventricular dysfunction and decreases risk of long-term sequelae such as coronary artery aneurysms.
UR - http://www.scopus.com/inward/record.url?scp=85069925186&partnerID=8YFLogxK
U2 - 10.1016/j.cjco.2019.04.001
DO - 10.1016/j.cjco.2019.04.001
M3 - Article
AN - SCOPUS:85069925186
SN - 2589-790X
VL - 1
SP - 206
EP - 208
JO - CJC Open
JF - CJC Open
IS - 4
ER -