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CASE REPORT
Year : 2020  |  Volume : 14  |  Issue : 3  |  Page : 154-158

Kawasaki disease in Port Harcourt, Nigeria


Department of Paediatrics, Rivers State University Teaching Hospital; Department of Paediatrics and Child Health, Faculty of Clinical Sciences, College of Health Sciences, Rivers State University, Port Harcourt, Rivers State, Nigeria

Correspondence Address:
Woroma Wonodi
Department of Paediatrics, Rivers State University Teaching Hospital, Rivers State
Nigeria
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/phmj.phmj_23_20

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Kawasaki disease (KD) is an acute febrile vasculitis of childhood, predominantly affecting medium-sized arteries with a predilection for coronary arteries and commonly occurring in children under the age of 5 years. Early recognition can be challenging; however, delayed diagnosis increases the risk of coronary artery abnormalities and death. We report a case of KD in a 19-month-old child who presented with prolonged fever, conjunctival congestion, skin rash and redness of lips and tongue. He was initially managed as a case of complicated measles, but with worsening symptoms, KD was suspected. Echocardiography revealed a left coronary artery aneurysm. He received two doses of intravenous immunoglobulin G, over a period of 24 h and responded remarkably to treatment. KD is rare in Port Harcourt, Nigeria, and children with prolonged fever and erythematous rash may be mistakenly managed for measles if there is no high level of suspicion amongst clinicians.


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