Klymyshyn Y, Datsko O, Stepanovskyy Y, Nagao Y, Nagayama Y, Ueno S, Sheremet M. A Ukrainian infant with giant coronary aneurysms: A case report and literature review.
Clin Case Rep 2023;
11:e7301. [PMID:
37151939 PMCID:
PMC10160427 DOI:
10.1002/ccr3.7301]
[Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/21/2023] [Revised: 04/15/2023] [Accepted: 04/20/2023] [Indexed: 05/09/2023] Open
Abstract
Key Clinical Message
COVID may manifest multisystem inflammatory syndrome in children (MIS-C) which mimics Kawasaki disease (KD). Differentiating KD and MIS-C is difficult. Immunomodulatory treatment should be initiated promptly without accurate diagnosis.
Abstract
A febrile Ukrainian infant developed giant aneurysms in coronary arteries. Differentiating between Kawasaki disease and multisystem inflammatory syndrome in children was difficult. In both illnesses, coronary aneurysm may develop unless treated promptly. Therefore, guidelines should synthesize these clinical entities so that treatment can be initiated before rigorous diagnosis.
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