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Kawasaki disease complicated by mild encephalopathy with a reversible splenial lesion (MERS).

Identifieur interne : 002240 ( Main/Exploration ); précédent : 002239; suivant : 002241

Kawasaki disease complicated by mild encephalopathy with a reversible splenial lesion (MERS).

Auteurs : Jun-Ichi Takanashi [Japon] ; Kentaro Shirai ; Yuji Sugawara ; Yoko Okamoto ; Toshimasa Obonai ; Hitoshi Terada

Source :

RBID : pubmed:22129937

Descripteurs français

English descriptors

Abstract

We reported four patients (2 to 10 years) with Kawasaki disease complicated by clinically mild encephalitis/encephalopathy with a reversible splenial lesion (MERS). All were treated with γ-globulin (2 to 6 g/kg) after the diagnosis of Kawasaki disease, the fever being alleviated between day 6 and 25. One of two patients exhibiting a poor response to γ-globulin had a cardiac aneurysm as a sequela. Their neurological manifestations (delirious behavior and drowsiness), laboratorial hyponatremia, and radiological abnormalities completely disappeared. It is important for pediatricians to acknowledge that MERS can be observed in patients with Kawasaki disease, especially in older children, and that they might be at high risk for cardiac abnormalities.

DOI: 10.1016/j.jns.2011.11.022
PubMed: 22129937


Affiliations:


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Le document en format XML

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