Preview

CHILDREN INFECTIONS

Advanced search

Kawasaki syndrome in a young child: clinical case

https://doi.org/10.22627/2072-8107-2023-22-4-63-68

Abstract

Kawasaki syndrome (SC) and multisystem inflammatory syndrome in children (MIS-C) are inflammatory conditions that are difficult for doctors to diagnose and treat. These are two different states, despite the fact that many of their features have common features. Complex pathogenetic mechanisms that cause the development of SC find their clinical expression in the defeat of a large number of functional systems of the body. The aim: demonstrating the difficulty of diagnosing Kawasaki syndrome in a young child of 8 months. Results. The emphasis is placed on the clinical predominance of intoxication-febrile, respiratory, intestinal, exanthemic syndromes, as well as on the absence of specific symptoms from the cardiovascular system in the early stages of the disease, which made early diagnosis difficult. Conclusion. The clinical case we have presented demonstrates the atypical development of Kawasaki syndrome with a prolonged absence of changes from the cardiovascular system

About the Authors

V. V. Sokolovskaya
Smolensk State Medical University
Russian Federation

Smolensk



A. A. Litvinova
Smolensk State Medical University
Russian Federation

Smolensk



A. V. Krikova
Smolensk State Medical University
Russian Federation

Smolensk



R. S. Kozlov
Smolensk State Medical University
Russian Federation

Smolensk



References

1. Centers for Disease Control and Prevention. Emergency preparedness and response: health alert network. Accessed 22 May 2020. Available from: https://emergency.cdc.gov/han/2020/han00432.asp

2. Tong T., Yao X., Lin Z., et al. Similarities and differences between MIS-C and KD: a systematic review and meta-analysis. Pediatr Rheumatol Online J. 2022; 20(1):112. doi:10.1186/s12969-022-00771-x

3. Kabeerdoss J., Pilania R.K., Karkhele R., Kumar T.S., Danda D., Singh S. Severe COVID-19, multisystem inflammatory syndrome in children, and Kawasaki disease: immunological mechanisms, clinical manifestations and management. Rheumatol Int. 2021; 41:19—32. doi:10.1007/s00296-020-04749-4

4. Tripathi A.K., Pilania R.K., Bhatt G.C., Atlani M., Kumar A., Malik S. Acute kidney injury following multisystem inflammatory syndrome associated with SARS-CoV-2 infection in children: a systematic review and meta-analysis. Pediatr Nephrol. 2023; 38(2):357—370. doi:10.1007/s00467-022-05701-3

5. Besedina E.A., Bad'jan A.S., Piskunova S.G., Dudnikova Je.V., Kovalenko V.N., Inkin A.M. Multisystem inflammatory syndrome (MIS) or Kawasaki-like syndrome associated with COVID-19. Meditsinskiy vestnik Yuga Rossii. 2023; 14(2):76—83. DOI:10.21886/2219-8075-2023-14-2-76-83

6. Dhar D., Dey T., Samim M.M., et al. Systemic inflammatory syndrome in COVID-19-SISCoV study: systematic review and meta-analysis. Pediatr Res. 2022; 91(6):1334—1349. doi:10.1038/s41390-021-01545-z

7. Lobzin Yu.V., Vilnits A.A., Kostik M.M., Bekhtereva M.K., Uskov A.N., Skripchenko N.V., Babachenko I.V., Ivanov D.O., Alexandrovich Yu.S., Konstantinova Yu.E., Dondurei E.A., Konev A.I., Karasev V.V. Pediatric multisystem inflammatory syndrome associated with a new coronavirus infection: unresolved issues. Zhurnal infektologii=Journal Infectology. 2021; 13(1):13— 20. (In Russ.) doi.org/10.22625/2072-6732-2021-13-1-13-20


Review

For citations:


Sokolovskaya V.V., Litvinova A.A., Krikova A.V., Kozlov R.S. Kawasaki syndrome in a young child: clinical case. CHILDREN INFECTIONS. 2023;22(4):63-68. (In Russ.) https://doi.org/10.22627/2072-8107-2023-22-4-63-68

Views: 538


Creative Commons License
This work is licensed under a Creative Commons Attribution 4.0 License.


ISSN 2072-8107 (Print)
ISSN 2618-8139 (Online)