The Turkish Journal of Pediatrics
2013 , Vol 55 , Num 3
Kawasaki Disease Shock Syndrome: A Severe Form of Kawasaki Disease
Units of 1Intensive Care, 2Cardiology, and 3Infectious Diseases, Dr. Behçet Uz Children’s Research and Training Hospital,
İzmir, Turkey. E-mail: dr.ranaisguder@yahoo.com
Kawasaki disease is a systemic vasculitis, primarily encountered in children.
Its clinical presentation is well known, and coronary artery abnormalities are
classical complications. Shock is not a common form of presentation of the
disease. We report a case who presented with shock due to Kawasaki disease
in accordance with the recently defined ‘Kawasaki disease shock syndrome’.
In pediatric intensive care units, Kawasaki disease shock syndrome may be
misdiagnosed as toxic shock syndrome. Intensivists and emergency room
physicians should be aware of this uncommon presentation and perform an
echocardiography to search for coronary involvement in case of clinical doubt.
Keywords :
Kawasaki disease, Kawasaki disease shock syndrome, toxic shock, pediatric
intensive care unit.