Pelayo Leon-Jimenez, Maria Lorenzo-Martin, Cristiana Tomatis-Souverbielle, Shoghik Akoghlanian, Linda Cripe, Octavio Ramilo, Asuncion Mejias
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Pan-valvulitis in Children with Kawasaki Disease: A Case Report and Review of the Literature.
We present a rare case of pan-valvular involvement in a 5-month-old female with Kawasaki disease shock syndrome despite early treatment with intravenous immunoglobulin and corticosteroids. She experienced a favorable outcome after the addition of infliximab, which was guided based on clinical, laboratory and echocardiogram findings, rather than recrudescence of fever, the most common indicator of intravenous immunoglobulin resistance.