Abstract

SOTELO, Norberto  and  GONZALEZ, Luis Antonio. Kawasaki disease: A rare pediatric pathology in Mexico. Twenty cases report from the Hospital Infantil del Estado de Sonora. Arch. Cardiol. Méx. [online]. 2007, vol.77, n.4, pp.299-307. ISSN 1665-1731.

Background: Kawasaki disease (KD) is an etiological illness that is relatively unknown and scarcely identified in Mexico; it affects children mainly aged 1-4 years, evolves with fever, vasculitis in diverse organs, and in the heart the disease mainly affects the coronary arteries. Objectives: Our aim was to inform the clinical findings and evolution of 20 patients diagnosed with KD. Materials and methods: We reviewed the patient clinical files retrospectively and descriptively to obtain information with regard to age, sex, clinical signs, laboratory and consultory results, echocardiography findings, complications, evolution during hospitalization, follow-up, and out-patient ambulatory consultations. Results: Eighteen patients were male, two were female, six developed coronary damage, two aortic mitral-valve insufficiency, one pericardial shedding, and one, myocarditis. All patients received gamma globulin treatment with aspirin, and 16 were controlled during 6-8 months after the acute medical profile. Conclusions: The opportune clinical diagnostic it is fundamental to establish an early treatment with gammma-globuline to avoid injuries in the arterial coronary level. This injury may cause eventualy ischemia or myocardial infarct.

Keywords : Kawasaki disease; Vasculitis; Coronary aneurysms.

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