Infant Kawasaki disease complicated with supraventricular tachycardia: a case report and literature review.

IF 2.8 3区医学 Q1 PEDIATRICS

Pediatric Rheumatology Pub Date : 2025-02-12 DOI:10.1186/s12969-025-01061-y

Nanjun Zhang, Bowen Li, Yu Yan, Shuran Shao, Yimin Hua, Hongyu Duan, Kaiyu Zhou, Chuan Wang, Xiaoliang Liu

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引用次数: 0

Abstract

Background: The occurrence of arrhythmias as a complication of Kawasaki disease (KD) is extremely rare. Moreover, previous literature showed a low incidence of arrhythmias during the acute phase of KD, and the majority occurred in the subacute and chronic phases. To date, we have found only 17 sporadically reported global cases in the available literature.

Case presentation: We present the first documented case of an infant with KD complicated with supraventricular tachycardia (Atrioventricular reentrant tachycardia) during the acute phase. The arrhythmia resolved promptly after the combination therapy of intravenous Immunoglobulin (IVIG) and steroids during the acute phase since the inflammation subsided. Additionally, we conducted a review and summary of cases involving KD-related arrhythmias.

Conclusions: KD rarely causes arrhythmias, which might be associated with myocarditis and myocardial ischemia attributed to scar formation and/or excessive inflammatory factors damaging the conduction system. Strengthening the early identification and management of complications in patients with KD and personalized follow-up strategies for high-risk children during the chronic phase can enhance patients' prognosis.

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婴儿川崎病合并室上性心动过速1例报告并文献复习。

背景：心律失常作为川崎病（KD）的并发症极为罕见。此外，既往文献显示KD急性期心律失常发生率低，多数发生在亚急性期和慢性期。迄今为止，我们在现有文献中仅发现了17例零星报告的全球病例。病例介绍：我们提出了第一例有文献记载的婴儿KD在急性期并发室上性心动过速（房室折返性心动过速）。急性期炎症消退，经静脉注射免疫球蛋白（IVIG）和类固醇联合治疗，心律失常迅速缓解。此外，我们还对心律失常相关的病例进行了回顾和总结。结论：KD很少引起心律失常，心律失常可能与瘢痕形成和/或过度炎症因子损害传导系统引起的心肌炎和心肌缺血有关。加强KD患者并发症的早期识别和管理，对高危儿童在慢性期采取个性化的随访策略，可改善患者预后。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Pediatric Rheumatology PEDIATRICS-RHEUMATOLOGY

CiteScore

4.10

自引率

8.00%

发文量

审稿时长

>12 weeks

期刊介绍： Pediatric Rheumatology is an open access, peer-reviewed, online journal encompassing all aspects of clinical and basic research related to pediatric rheumatology and allied subjects. The journal’s scope of diseases and syndromes include musculoskeletal pain syndromes, rheumatic fever and post-streptococcal syndromes, juvenile idiopathic arthritis, systemic lupus erythematosus, juvenile dermatomyositis, local and systemic scleroderma, Kawasaki disease, Henoch-Schonlein purpura and other vasculitides, sarcoidosis, inherited musculoskeletal syndromes, autoinflammatory syndromes, and others.