Affiliations: [a] Department of Cardiology, The Children’s Hospital, Zhejiang University School of Medicine, Hangzhou, Zhejiang, China | [b] Department of Vascular Surgery, Hangzhou Third Hospital, Hangzhou, Zhejiang, China
Correspondence:
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Corresponding author: Linjun Wang, Department of Vascular Surgery, Hangzhou Third Hospital, 33 West Lake Road, Hangzhou, Zhejiang 310009, China. Tel.: +86 571 87823126; E-mail: wanglinjunzj@163.com.
Abstract: Due to the lack of typical clinical manifestations, the incomplete Kawasaki disease (KD) is easily misdiagnosed and missed. The sudden death risk in incomplete KD cases is similar to typical KD. In this study, we report a case of a 1-year-old boy who died suddenly without any warning after incomplete KD. The boy was admitted due to fever and a cough, with preliminary diagnosis of acute severe bronchial pneumonia, but no typical KD characteristics. After antibiotics and supportive treatment, the condition worsened. Finally, the boy died after the ineffective rescue. The pathology revealed that the boy suffered from incomplete KD. From this case, we experience that, when infants or children have a long-lasting fever, the possibility of KD should not be ignored. In addition, when managing such patients, the frequency of heart ultrasound should be increased as appropriate.
