Publication: Overcoming the Challenges of Intravenous Immunoglobulin Resistance in Kawasaki Disease: A Case Report
Date
2024
Article Type
Case Report
Journal Title
Journal ISSN
JNMA Print ISSN: 0028-2715; Online ISSN: 1815-672X
Volume Title
Pages
Pages: 844 - 846
Publisher
Nepal Medical Association
Abstract
Abstract
Kawasaki disease, extremely rare vasculitis of unknown etiology characterized by inflammation of small to medium sized arteries of multiple systems. This case report enhances the knowledge and management skills of rare clinical conditions. Here we report a case of a 3- month-old infant presented with acute onset fever, rash, non-exudative conjunctivitis and swellings of hands and legs with blood culture positive sepsis and right coronary artery dilatation. The child didn’t respond to treatment with the first dose of intravenous immunoglobulin. Therefore, the immunoglobulin resistant Kawasaki disease in infants needs further evaluation and clinical management at tertiary level hospitals.
Description
Rahul Kumar Chaudhary
Department of Anaesthesia, Birat Medical College Teaching Hospital, Tankisinuwari, Morang, Nepal
Sajjad Ahmed Khan
Birat Medical College Teaching Hospital, Tankisinuwari, Morang, Nepal
Raman Kumar Sah
Birat Medical College Teaching Hospital, Tankisinuwari, Morang, Nepal
Shreya
Birat Medical College Teaching Hospital, Tankisinuwari, Morang, Nepal
Keywords
Identifier
https://doi.org/10.31729/jnma.8837