Abstract
Background
Kawasaki disease is an acute and time-limited systemic vasculitis primarily affecting
young children.
Patient
We describe an 18-month-old girl with Kawasaki disease who developed cerebral infarction
following complete occlusion of her right internal carotid artery.
Results
The occlusion occurred 10 days after the onset of fever, while she was on high-dose
aspirin, and the day after she received intravenous immunoglobulin treatment. We present
the first literature review on this very rare complication.
Conclusion
Stroke is a rare neurological complication in Kawasaki disease. Optimal treatment
should be begun as soon as possible after diagnosis. Intravenous immunoglobulins seem
to reduce the cerebrovascular complications, but evaluation of hydration status is
strongly recommended before performing such treatment.
Keywords
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Article info
Publication history
Published online: October 07, 2013
Accepted:
August 11,
2013
Received:
May 8,
2013
Identification
Copyright
© 2013 Elsevier Inc. Published by Elsevier Inc. All rights reserved.
