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Giant coronary aneurysms developed in a child of Kawasaki disease with only 3 days of fever

Published online by Cambridge University Press:  22 March 2010

Ming-Chih Lin
Affiliation:
Department of Pediatrics, Institute of Clinical Medicine, National Yang-Ming University, Taipei, Taiwan Division of Pediatric Cardiology, Department of Pediatrics, Taichung Veterans General Hospital, Taichung, Taiwan Institute of Preventive Medicine, College of Public Health, National Taiwan University, Taipei, Taiwan
Chun-Ming Hsu
Affiliation:
Division of Pediatrics, Kuang-Tien General Hospital, Taichung, Taiwan
Yun-Ching Fu*
Affiliation:
Department of Pediatrics, Institute of Clinical Medicine, National Yang-Ming University, Taipei, Taiwan Division of Pediatric Cardiology, Department of Pediatrics, Taichung Veterans General Hospital, Taichung, Taiwan
*
Correspondence to: Yun-Ching Fu, MD, PhD, Department of pediatrics, Taichung Veterans General Hospital, 160, Sec. 3, Chung-Kang Road, Taichung, 40705, Taiwan. Tel: 886 4 23592525, Ext. 5900; Fax: 886 4 23741359; E-mail: ivanfu@vghtc.gov.tw

Abstract

Prolonged fever, 5 days or more, is the cardinal feature of Kawasaki disease. We described a 5-year-old boy with initial presentations of fever, conjunctivitis, and strawberry tongue. The fever only lasted for 3 days. However, giant coronary aneurysms developed later. This patient reminds us that coronary complications could happen even the fever is less than 5 days. Criteria of fever duration might need reconsideration.

Type
Brief Reports
Copyright
Copyright © Cambridge University Press 2010

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