Periodicidad semestral: flujo continuo.
ISSN - Electrónico: 2661-6947 / DOI: 10.36015 • LILACS BIREME (19784); LATINDEX (20666)
This article describes the diagnostic process of the not very common Kawasaki disease in a pre-school patient at the Enrique Garcés Hospital in Quito. Although this disease has been clinically described for more than 50 years, its prevalence and medical knowledge is greater in the Asian continent. Introduction. A definition and description of Kawasaki disease is presented, considering its clinical criteria. It also recognized the contributions of previous studies carried out in Latin America and Ecuador. Case presentation. Preschool patient, who presented fever of 5 days evolution, accompanied by maculopapular rash, nonsuppurative conjunctivitis, raspberry tongue, erythema on lips, hands and feet edema. The goal was highlight the main signs to reach the definitive diagnosis of Kawasaki Disease. Results. The patient met the clinical criteria for Kawasaki disease. A treatment with human immunoglobulin and acetylsalicylic acid was initiated, in addition to requesting an echocardiogram that reports a slight affectation of the left coronary artery. At 24 hours after starting the treatment, the child showed marked clinical improvement. In the subsequent management, acetylsalicylic acid alone is maintained at antiplatelet dose, indicated to continue for 6 weeks, and echocardiographic monitoring in 6 weeks. Discussion. The clinical signs that led to the definitive diagnosis of Kawasaki Disease in our reported patient were similar to those described in the medical literature. Conclusion. The EK from its description was established clinical criteria, to assist in its diagnosis. There are no pathognomonic clinical findings or specific diagnostic tests so far.
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