Browse > Article
http://dx.doi.org/10.14776/piv.2017.24.2.112

Kawasaki Disease Shock Syndrome with Acute Kidney Injury and Hypertension  

Choi, Jae Hong (Department of Pediatrics, Jeju National University Hospital, Jeju National University College of Medicine)
Kim, Yoon-Joo (Department of Pediatrics, Jeju National University Hospital, Jeju National University College of Medicine)
Kim, Young Don (Department of Pediatrics, Jeju National University Hospital, Jeju National University College of Medicine)
Han, Kyoung Hee (Department of Pediatrics, Jeju National University Hospital, Jeju National University College of Medicine)
Publication Information
Pediatric Infection and Vaccine / v.24, no.2, 2017 , pp. 112-116 More about this Journal
Abstract
Kawasaki disease (KD) is an acute febrile mucocutaneous lymph node syndrome that commonly presents with stable hemodynamic status during the acute phase. An 8-year-old boy initially presented with severe hypotension and acute kidney injury. He was placed in the intensive care unit and was diagnosed with KD. Observed clinical features were defined as KD shock syndrome. His coronary artery was dilated during the subacute phase. Furthermore, he was given anti-hypertensive medications, owing to hypertension as an unusual complication of KD. We knew the importance of monitoring for blood pressure considering vasculitis as an aspect of the main pathogenesis of KD.
Keywords
Mucocutaneous lymph node syndrome; Shock; Acute kidney injury; Hypertension;
Citations & Related Records
연도 인용수 순위
  • Reference
1 Kawasaki T. Acute febrile mucocutaneous syndrome with lymphoid involvement with specific desquamation of the fingers and toes in children. Arerugi 1967;16:178-222.
2 Mandal S, Pande A, Mandal D, Sarkar A, Kahali D, Panja M. Various coronary artery complications of Kawasaki disease: Series of 5 cases and review of literature. J Cardiovasc Dis Res 2012;3:231-5.   DOI
3 Titze U, Janka G, Schneider EM, Prall F, Haffner D, Classen CF. Hemophagocytic lymphohistiocytosis and Kawasaki disease: combined manifestation and differential diagnosis. Pediatr Blood Cancer 2009;53:493-5.   DOI
4 Gatterre P, Oualha M, Dupic L, Iserin F, Bodemer C, Lesage F, et al. Kawasaki disease: an unexpected etiology of shock and multiple organ dysfunction syndrome. Intensive Care Med 2012;38:872-8.   DOI
5 Harada T, Ito S, Shiga K, Inaba A, Machida H, Aihara Y, et al. A report of two cases of Kawasaki disease treated with plasma exchange. Ther Apher Dial 2008;12:176-9.   DOI
6 Thabet F, Bafaqih H, Al-Mohaimeed S, Al-Hilali M, Al-Sewairi W, Chehab M. Shock: an unusual presentation of Kawasaki disease. Eur J Pediatr 2011;170:941-3.   DOI
7 Kanegaye JT, Wilder MS, Molkara D, Frazer JR, Pancheri J, Tremoulet AH, et al. Recognition of a Kawasaki disease shock syndrome. Pediatrics 2009;123:e783-9.   DOI
8 Chen PS, Chi H, Huang FY, Peng CC, Chen MR, Chiu NC. Clinical manifestations of Kawasaki disease shock syndrome: a case-control study. J Microbiol Immunol Infect 2015;48:43-50.   DOI
9 Dominguez SR, Friedman K, Seewald R, Anderson MS, Willis L, Glode MP. Kawasaki disease in a pediatric intensive care unit: a case-control study. Pediatrics 2008;122:e786-90.   DOI
10 Kim KY, Kim DS. Recent advances in Kawasaki disease. Yonsei Med J 2016;57:15-21.   DOI
11 Burns JC. Kawasaki disease. Adv Pediatr 2001;48:157-77.
12 Watanabe T. Kidney and urinary tract involvement in kawasaki disease. Int J Pediatr 2013;2013:831834.
13 Mac Ardle BM, Chambers TL, Weller SD, Tribe CR. Acute renal failure in Kawasaki disease. J R Soc Med 1983;76:615-6.   DOI
14 Lurbe E, Agabiti-Rosei E, Cruickshank JK, Dominiczak A, Erdine S, Hirth A, et al. 2016 European Society of Hypertension guidelines for the management of high blood pressure in children and adolescents. J Hypertens 2016;34:1887-920.   DOI
15 Hu P, Wang J, Fan XC, Hu B, Lu L. Hypertension triggers the rupture of coronary artery aneurysm in an 8-year-old boy with Kawasaki disease. J Clin Hypertens (Greenwich) 2014;16:766-7.   DOI
16 Nagao M, Yamamoto K, Urabe T, Amakawa R, Ito A, Aosima S, et al. Percutaneous transluminal renal artery angioplasty in a 3-year-old hypertensive boy. Kokyu To Junkan 1986;34:1227-30.
17 Takahashi K, Oharaseki T, Yokouchi Y, Hiruta N, Naoe S. Kawasaki disease as a systemic vasculitis in childhood. Ann Vasc Dis 2010;3:173-81.   DOI
18 Papadodima SA, Sakelliadis EI, Goutas ND, Vlachodimitropoulos DG, Spiliopoulou CA. Atypical kawasaki disease presenting with symptoms from the genitourinary system: an autopsy report. J Trop Pediatr 2009;55:55-7.
19 Foster BJ, Bernard C, Drummond KN. Kawasaki disease complicated by renal artery stenosis. Arch Dis Child 2000;83:253-5.   DOI
20 Kissel M, Phoon CK, Kahn PJ. Hypertension during intravenous immune globulin infusion for Kawasaki's disease: an underreported phenomenon? Clin Pediatr (Phila) 2015;54:491-3.   DOI