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Coronary Artery Dilatation in Toxic Shock-Like Syndrome: The Kawasaki Disease Shock Syndrome

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Abstract

Kawasaki disease is a common systemic vasculitis of childhood that may result in life-threatening coronary artery abnormalities. Despite an overlap of clinical features with toxic shock syndrome, children with Kawasaki disease generally do not develop shock. We report two cases of older children who presented with a toxic shock-like illness, and were diagnosed with Kawasaki disease when coronary artery abnormalities were found on echocardiography, in keeping with the recently described ‘Kawasaki disease shock syndrome’. Clinicians should consider Kawasaki disease in all children presenting with toxic shock and assess for coronary artery damage.

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Authors and Affiliations

  1. Children’s Cardiac Centre, Princess Margaret Hospital for Children, Perth, Australia

    Deane Yim, James Ramsay & Darshan Kothari

  2. School of Paediatrics and Child Health, University of Western Australia, Perth, Australia

    David Burgner

  3. Murdoch Childrens Research Institute, Royal Children’s Hospital, Parkville, VIC, 3052, Australia

    David Burgner

Authors
  1. Deane Yim
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  2. James Ramsay
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  3. Darshan Kothari
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  4. David Burgner
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Correspondence to David Burgner.

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Yim, D., Ramsay, J., Kothari, D. et al. Coronary Artery Dilatation in Toxic Shock-Like Syndrome: The Kawasaki Disease Shock Syndrome. Pediatr Cardiol 31, 1232–1235 (2010). https://doi.org/10.1007/s00246-010-9771-0

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  • DOI: https://doi.org/10.1007/s00246-010-9771-0

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