Article: article from journal or magazin.
Case report (case report): feedback on an observation with a short commentary.
Myocarditis and coronary dilatation in the 1st week of life: neonatal incomplete Kawasaki disease?
European journal of pediatrics
Publication types: Case Reports ; Journal Article - Publication Status: ppublish
Acute heart failure in the early neonatal period is rare. Normally it is due to asphyxia, severe septicaemia, a congenital heart malformation or a viral myocarditis. Kawasaki disease (KD) as a cause of an neonatal myocarditis is not an established diagnosis. KD is a vasculitis of still unknown origin occurring predominantly in infants and preschool children. KD before the age of 3 months is rare. There are only few reports about KD in the 1st month. We present a newborn who showed the cardiac symptoms of KD in the 1st week of life with coronary dilatation and myocarditis. CONCLUSION: The diagnosis of incomplete KD should be considered not only in infants but also in newborns with signs of myocarditis and coronary abnormalities. Therapy with gammaglobulins may prevent the sequelae of coronary involvement.
Coronary Disease, Humans, Infant, Newborn, Male, Mucocutaneous Lymph Node Syndrome, Myocarditis
Web of science
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