Kawasaki Disease - Diagnosis and Management- A Retrospective Study
Journal Title: Saudi Journal of Medical and Pharmaceutical Sciences - Year 2016, Vol 2, Issue 6
Abstract
Abstract: Kawasaki disease (KD) is an acute febrile illness, mostly of under-fives. It is the leading cause of acquired heart disease in children in the developed countries, with coronary artery abnormalities in 20-25% of untreated patients.This is a retrospective study of patient records of cases of KD in 5 years at Sohar hospital, Oman looking at epidemiology, clinical presentation, investigations and management.In our study, KD occurred mostly in boys under 5,in the first half of the year.All had fever. In decreasing frequency, they had oral mucosal changes, cervical lymphadenopathy, rash,conjunctivitis and extremity changes. Most had raised CRP/ESR, raised platelets, and low haemoglobin. Less than half had a raised white cell count.Serum albumin was done in 44% of admissions, of which 37.5% had low values. 50% admissions had urine microscopy done.Blood cultures, urine cultures, ASOT, Monospot, viral studies,ALT were also done and were all mostly normal.Ultrasound neck was done in one case and chest X-ray intwo cases.ECHO showed some abnormality in 50% admissions. 16.7% cases were typical KD, 72.2 % incomplete KD. All (100%) children received the recommended treatment. 5.5% of admissions was unresponsive to IVIG, and responded tomethylprednisolone.Our study demonstrates recognition of KD in children in Oman, mostly presenting as incomplete KD. All children(100%) received the recommended treatment. Keywords: child, coronary artery disease, epidemiology, kawasaki disease, Oman, retrospective studies
Authors and Affiliations
DeepaSubbiah Somasundaram, Salim K Ismail, Firdous Jahan, Ganji Shivalingam, Kallesh Hebbal
Keywords
Related Articles
- EP ID EP388357
- DOI -
- Views 137
- Downloads 0
Nursing Perceptions of Electronic Documentation
Abstract: The support of an electronic health record (EHR) is directed under current health care regulation improvement. The EHR provides information that is patient focused and advances patient safety. There are limited...
Fatigue and Sleepiness in Aircrew: Experience of the Aeromedical Expertise Center of Rabat (CEMPN)
Fatigue is often cited as a contributing factor in air incidents and accidents. Usually, the words "fatigue" and "sleepiness" are used by aircrew to describe the same feelings, a questionnaire has been developed for subj...
Clinical and Epidemiological Profile of Snake Bite Cases in a Tertiary Care Medical College and Hospital in Eastern India
Abstract: Snake bite is one of the important causes of morbidity and mortality in tropical countries like India. In India, the most important venomous snakes are cobra, krait, Russell’s viper and saw-scaled viper. This s...
Unusual Presentation of a Rare Disease
Abstract: Intra-cardiac tumors are rare with estimated prevalence in autopsy series of 0.02%. Atrial myxoma is the most common primary cardiac tumor. The diagnosis can be challenging and high index of suspicion is requi...
Medieval Recipes for Treatment of Hair Contained in The Kitab Al-Tasrif (Book of Medical Arrangement) of Abulcasis Al-Zahrawi (C.936-C.1013)
Abstract: Among the many scientists who enriched the scientific panorama in medieval Spain, one of the most important is without any doubt the Cordovan physician and surgeon Abulcasis Al-Zahrawi (circa 936-circa 1013). T...