Intravenous Immunoglobulin Nonresponsive Symptomatic Myocarditis during the Acute Stage of Incomplete Kawasaki Disease.
10.14776/piv.2015.22.3.206
- Author:
Youngsoo SOHN
1
;
Yeo Hyang KIM
Author Information
1. Department of Pediatrics, Kyungpook National University School of Medicine, Daegu, Korea. kimyhmd@knu.ac.kr
- Publication Type:Case Report
- Keywords:
Kawasaki disease;
Corticosteroids;
Myocarditis
- MeSH:
Adrenal Cortex Hormones;
Child;
Humans;
Hypotension;
Immunoglobulins*;
Male;
Methylprednisolone;
Mucocutaneous Lymph Node Syndrome*;
Myocarditis*
- From:Pediatric Infection & Vaccine
2015;22(3):206-209
- CountryRepublic of Korea
- Language:English
-
Abstract:
We report the case of a 7-year-old boy who showed treatment-nonresponsive hypotension (59/29 mmHg) and decreased left ventricular systolic function (fractional shortening 22%) in the acute stage of Kawasaki disease (KD). The present case serves to highlight that methylprednisolone pulse therapy should be considered in patients with intravenous immunoglobulin nonresponsive symptomatic myocarditis during the acute stage of KD.
