We found a match
Your institution may have access to this item. Find your institution then sign in to continue.
- Title
High Frequency of Cardiovascular Complications in Tunisian Kawasaki Disease Patients: Need for a Further Awareness.
- Authors
Chehida, Amel Ben; Messaoud, Sana Ben; Abdelaziz, Rim Ben; Boudabous, Hela; Oujra, Mariem; Turkia, Hadhami Ben; Abdelmoula, Mohamed Slim; Azzouz, Hatem; Hakim, Kaothar; Tebib, Neji; Ben Chehida, Amel; Ben Messaoud, Sana; Ben Abdelaziz, Rim; Ben Turkia, Hadhami
- Abstract
<bold>Background: </bold>The outcome of Kawasaki disease (KD) depends on cardiovascular complications (CVCs).<bold>Objectives: </bold>This study aimed to explore diagnostic features and CVCs in Tunisian patients with KD.<bold>Methods: </bold>In total, 33 Tunisian patients (age, 2.9 ± 2.2 years) fulfilling the diagnosis criteria of KD, were retrospectively reviewed. Nonparametric tests were used to compare the two groups with regards to coronary complications (CCs).<bold>Results: </bold>Diagnosis of KD was established at day 11 ± 5.1 from the beginning of the fever. Apyrexia was obtained in an average of 29 h after completion of intravenous immunoglobulin. CVCs were identified in 52% of cases: CC in 15 patients (giant aneurysm >8 mm in five patients) and non-CCs in 6 patients (severe in three patients). CCs were more frequently associated with the male sex (p = 0.037), fever lasting >8 days (p = 0.028) and longer time to apyrexia (p = 0.031).<bold>Conclusion: </bold>In Tunisia, better knowledge and monitoring of KD are warranted.
- Subjects
TUNISIA; MUCOCUTANEOUS lymph node syndrome; DISEASE complications; CARDIOVASCULAR diseases risk factors; ETIOLOGY of diseases; ECHOCARDIOGRAPHY; IMMUNOGLOBULINS; FEVER; ANEURYSMS; MYOCARDIAL infarction; CORONARY disease; RETROSPECTIVE studies; DISEASE incidence; SEX distribution; MEDICAL errors; TREATMENT effectiveness; CORONARY artery abnormalities; DIAGNOSIS; COMPUTED tomography; COMORBIDITY
- Publication
Journal of Tropical Pediatrics, 2019, Vol 65, Issue 3, p217
- ISSN
0142-6338
- Publication type
journal article
- DOI
10.1093/tropej/fmy036