Kawasaki disease complicated by cerebral infarction

Cardiol Young. 2003 Feb;13(1):103-5. doi: 10.1017/s1047951103000179.

Abstract

An 8-month-old boy presented with right hemiplegia of sudden onset after 20 days of Kawasaki disease, which was not initially treated by gamma globulin. Cranial X-ray computed tomography confirmed cerebral infarction as the cause of the right hemiplegia. In subsequent weeks, he developed multiple thromboses in coronary aneurysms. He successfully underwent intracoronary thrombolysis using tissue plasminogen activator without haemorrhagic complications. Cerebral infarction as a complication of Kawasaki disease is rare, and is a difficult clinical situation to manage.

Publication types

  • Case Reports

MeSH terms

  • Cerebral Infarction / complications
  • Cerebral Infarction / diagnosis*
  • Cerebral Infarction / drug therapy
  • Coronary Aneurysm / complications
  • Coronary Aneurysm / diagnosis*
  • Coronary Angiography
  • Coronary Thrombosis / complications
  • Coronary Thrombosis / diagnosis*
  • Coronary Thrombosis / drug therapy
  • Echocardiography, Doppler
  • Follow-Up Studies
  • Hemiplegia / complications
  • Hemiplegia / diagnosis
  • Hemiplegia / drug therapy
  • Humans
  • Infant
  • Male
  • Mucocutaneous Lymph Node Syndrome / complications
  • Mucocutaneous Lymph Node Syndrome / diagnosis*
  • Risk Assessment
  • Thrombolytic Therapy / methods*
  • Tissue Plasminogen Activator / administration & dosage
  • Tomography, X-Ray Computed
  • Treatment Outcome

Substances

  • Tissue Plasminogen Activator