Kawasaki disease: case report of a diagnostic dilemma and often a missed diagnosis.

ABSTRACT:

Background

Management of cardiovascular sequelae to Kawasaki disease (KD) is challenging to adult cardiologists. Vasculitis of medium-sized arteries especially coronary arteries often leads to focal intimal thickening and aneurysmal dilatation of one or more coronary arteries. It needs special attention to recognize coronary artery involvement because of potential long-term morbidity and mortality. We present a case of diagnostic dilemma in young adult Chinese male with KD.

Case summary

This asymptomatic patient was found to have deep Q waves in anterior leads on screening electrocardiography and was thought to have myocarditis after depiction of wall motion abnormality on echocardiography, later to be confirmed to have left anterior descending artery (LAD) territory infarct

SUBMITTER: Bin Jawaid Z 

PROVIDER: S-EPMC7954396 | biostudies-literature | 2021 Feb

REPOSITORIES: biostudies-literature