Hostname: page-component-cd9895bd7-mkpzs Total loading time: 0 Render date: 2024-12-27T10:43:03.865Z Has data issue: false hasContentIssue false
  • English
  • Français

Coronary artery aneurysm and facial drooping in a infant with Kawasaki disease

Published online by Cambridge University Press:  25 September 2020

Ye Yuan  and
Na Lu Open the ORCID record for Na Lu [Opens in a new window]
Ye Yuan
Affiliation:
The Department of Anesthesiology, the First hospital of Jilin university, Changchun, China
Na Lu*
Affiliation:
The Department of Pediatrics, the First hospital of Jilin university, Changchun, China
*
Author for correspondence: N. Lu, The Department of Pediatrics, the First Hospital of Jilin University, Changchun, China. Tel: +88782556; Fax: +88782556. E-mail: lunarmoo@163.com
Get access Rights & Permissions [Opens in a new window]

Abstract

Kawasaki disease is the leading cause of acquired heart disease in infants and young children. Kawasaki disease that manifests as facial nerve palsy is extremely rare, and the diagnosis is challenging. We report a 4-month-old girl with Kawasaki disease who presented with fever, redness and cracking in the lips and oral cavity, and a right facial nerve palsy. The infant received intravenous immunoglobulin, acetyl salicylic acid, and warfarin. The patient’s fever subsided on the following day, and the right-sided facial nerve palsy was relieved a month later.

Keywords

Complicationcoronary artery aneurysmfacial nerve palsyincomplete Kawasaki diseasepediatrics
Type
Brief Report
Information
Cardiology in the Young , Volume 30 , Issue 12 , December 2020 , pp. 1957 - 1959
Check for updates
Copyright
© The Author(s), 2020. Published by Cambridge University Press

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Uysal, F, Bostan, OM, Celebi, S, Uysal, B, Hamitoglu, S, Cil, E. Outcomes of Kawasaki disease: a single-center experience. Clin Pediatr (Phila) 2015; 54: 579–584.CrossRefGoogle ScholarPubMed
Gallagher, PG. Facial nerve paralysis and Kawasaki disease. Rev Infect Dis 1990; 12: 403–405.CrossRefGoogle ScholarPubMed
Alves, NR, Magalhaes, CM, Almeida Rde, F, Santos, RC, Gandolfi, L, Pratesi, R. Prospective study of Kawasaki disease complications: review of 115 cases. Rev Assoc Med Bras (1992) 2011; 57: 295–300.CrossRefGoogle ScholarPubMed
Yeo, Y, Kim, T, Ha, K, et al. Incomplete Kawasaki disease in patients younger than 1 year of age: a possible inherent risk factor. Eur J Pediatr 2009; 168: 157–162.10.1007/s00431-008-0722-1CrossRefGoogle ScholarPubMed
Chang, FY, Hwang, B, Chen, SJ, Lee, PC, Meng, CC, Lu, JH. Characteristics of Kawasaki disease in infants younger than six months of age. Pediatr Infect Dis J 2006; 25: 241–244.CrossRefGoogle ScholarPubMed
Rosenfeld, EA, Corydon, KE, Shulman, ST. Kawasaki disease in infants less than one year of age. J Pediatr 1995; 126: 524–529.10.1016/S0022-3476(95)70344-6CrossRefGoogle ScholarPubMed
Newburger, JW, Takahashi, M, Gerber, MA, et al. Diagnosis, treatment, and long-term management of Kawasaki disease: a statement for health professionals from the Committee on Rheumatic Fever, Endocarditis, and Kawasaki Disease, Council on Cardiovascular Disease in the Young, American Heart Association. Pediatrics 2004; 114: 1708–1733.CrossRefGoogle Scholar
Stowe, RC. Facial nerve palsy, Kawasaki disease, and coronary artery aneurysm. Eur J Paediatr Neurol 2015; 19: 607–609.CrossRefGoogle ScholarPubMed
Wright, H, Waddington, C, Geddes, J, Newburger, JW, Burgner, D. Facial nerve palsy complicating Kawasaki disease. Pediatrics 2008; 122: e783–e785.CrossRefGoogle ScholarPubMed
Poon, LK, Lun, KS, Ng, YM. Facial nerve palsy and Kawasaki disease. Hong Kong Med J 2000; 6: 224–226.Google ScholarPubMed