Kawasaki Disease Echocardiography Case

 

A 4 year old child with fever for 2 weeks, Strawberry tongue, Erythema & Edema of hands & Feet and Cervical Lymphadenopathy.

 Parasternal short Axis view on echocardiogram is showing dilated left main coronary artery measuring 11.1 mm, this finding together with the signs and symptoms are consistent with the diagnosis of kawasaki disease. 

What is kawasaki disease? 

The hallmark of kawasaki disease (KD) is fever lasting 5 days or more, counting the day of fever onset as day 1, in addition to cracking of lips or strawberry tongue, nonpurulent conjunctivitis, rash, erythema and edema of the hands and feet, and large unilateral cervical lymphadenopathy. 

Diagnosis for Cardiac Complications includes Echocardiography, which is the study of choice to evaluate for Coronary artery dilations and aneurysms, in both fully manifested and suspected incomplete cases of kawasaki disease. Serial echocardiograms should be obtained, preferably at the time of KD diagnosis, at 1-2 weeks, and at 5-6 weeks after the onset of the illness.