Ventricular septal rupture in a premature infant with incomplete Kawasaki disease: An unusual complication

IF 0.6 Q4 PEDIATRICS
Anis Munirah MK , Nor Fadhilah Zahari , Noraihan Ibrahim , Farohah CMZ , Abdul Rahim Wong
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引用次数: 0

Abstract

Kawasaki disease and the associated complication of Ventricular Septal Rupture are extremely rare in neonates, particularly among premature infants. We report a case of a premature infant who was diagnosed with incomplete Kawasaki disease after an echocardiogram incidentally demonstrated a coronary artery aneurysm. The patient developed Ventricular Septal Rupture secondary to myocardial infarction seven months after the onset of the disease. This case highlighted the importance of coronary artery screening in a febrile neonatal patient who did not respond to multiple courses of antibiotics. Due to the rarity of the disease in neonates and the complications, the management of Ventricular Septal Rupture postneonatal Kawasaki disease is challenging as there is no consensus regarding treatment.

不完全性川崎病早产儿室间隔破裂:一种罕见并发症
川崎病和室间隔破裂的相关并发症在新生儿中极为罕见,尤其是在早产儿中。我们报告了一例早产儿,在超声心动图意外显示冠状动脉瘤后,他被诊断为不完全性川崎病。患者在发病7个月后出现继发于心肌梗死的室间隔破裂。该病例强调了对一名对多个疗程的抗生素没有反应的发热新生儿进行冠状动脉筛查的重要性。由于这种疾病在新生儿中的罕见性和并发症,新生儿川崎病后室间隔破裂的治疗具有挑战性,因为在治疗方面没有达成共识。
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来源期刊
CiteScore
0.90
自引率
11.10%
发文量
69
审稿时长
75 days
期刊介绍: Progress in Pediatric Cardiology is an international journal of review presenting information and experienced opinion of importance in the understanding and management of cardiovascular diseases in children. Each issue is prepared by one or more Guest Editors and reviews a single subject, allowing for comprehensive presentations of complex, multifaceted or rapidly changing topics of clinical and investigative interest.
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