Mucocutaneous lymph node syndrome (Kawasaki disease): Delayed aortic and mitral insufficiency secondary to active valvulitis

Adult-onset Kawasaki disease (mucocutaneous lymph node syndrome) and concurrent Coxsackievirus A4 infection: a case report

INTRODUCTION Kawasaki disease (KD) most commonly develops in infants, although its specific cause is still unclear. We report here a rare case of adult-onset KD which revealed to be concurrently infected by Coxsackievirus A4. CASE PRESENTATION The patient was a 37-year-old Japanese man who presented with fever, exanthema, changes in the peripheral extremities, bilateral non-exudative conjunct...

[Kawasaki disease (mucocotaneous lymph node syndrome)].

Diagnostic criteria • Fever (generally ≥39.5°C) of unknown origin for ≥5d • And 4 from 5 of: o Lip & oral changes (lip fissures, pharyngitis, strawberry tongue) [90%] o Bilateral dry bulbar conjuctivitis (with limbic sparing) [85%] o Polymorphous rash (trunk, perineum, limbs) [80%] o Extremity changes (redness/swelling/later desquamation) [75%] o Cervical lymph nodes >1.5cm (usually unilateral)...

Mucocutaneous lymph node syndrome (Kawasaki disease). A report of 2 cases.

Two cases of Kawasaki disease, both with cardiac involvement, are reported in South African children and the diagnostic problems are discussed. In patient 1 an ECG showed the development of an inferior myocardial infarction, and in patient 2 on aneurysm of the left coronary artery was found at postmortem examination.

Mucocutaneous lymph node syndrome in two siblings.

Mitral insufficiency secondary to aortic valvular bacterial endocarditis.

The anterior leaflet of the mitral valve is partly continuous through a fibrous membrane with the aortic valve. Lying immediately subjacent to the aortic valve, the mitral valve and its chordae may become secondarily infected in instances of primary aortic valvular bacterial endocarditis. Destructive changes of the anterior mitral leaflet or mitral chordae may lead to mitral insufficiency. The ...