Kawasaki disease complicated by mild encephalopathy with a reversible splenial lesion (MERS).
Identifieur interne : 002240 ( Main/Exploration ); précédent : 002239; suivant : 002241Kawasaki 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 TeradaSource :
- Journal of the neurological sciences [ 1878-5883 ] ; 2012.
Descripteurs français
- KwdFr :
- MESH :
- anatomopathologie : Corps calleux.
- diagnostic : Encéphalite, Maladie de Kawasaki.
- Encéphalite, Enfant, Enfant d'âge préscolaire, Femelle, Humains, Maladie de Kawasaki, Mâle.
English descriptors
- KwdEn :
- MESH :
- complications : Encephalitis, Mucocutaneous Lymph Node Syndrome.
- diagnosis : Encephalitis, Mucocutaneous Lymph Node Syndrome.
- pathology : Corpus Callosum.
- Child, Child, Preschool, Female, Humans, Male.
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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<term>Encephalitis (complications)</term>
<term>Encephalitis (diagnosis)</term>
<term>Female</term>
<term>Humans</term>
<term>Male</term>
<term>Mucocutaneous Lymph Node Syndrome (complications)</term>
<term>Mucocutaneous Lymph Node Syndrome (diagnosis)</term>
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<keywords scheme="KwdFr" xml:lang="fr"><term>Corps calleux (anatomopathologie)</term>
<term>Encéphalite ()</term>
<term>Encéphalite (diagnostic)</term>
<term>Enfant</term>
<term>Enfant d'âge préscolaire</term>
<term>Femelle</term>
<term>Humains</term>
<term>Maladie de Kawasaki ()</term>
<term>Maladie de Kawasaki (diagnostic)</term>
<term>Mâle</term>
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<term>Mucocutaneous Lymph Node Syndrome</term>
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<term>Mucocutaneous Lymph Node Syndrome</term>
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<term>Maladie de Kawasaki</term>
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<term>Enfant d'âge préscolaire</term>
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<term>Humains</term>
<term>Maladie de Kawasaki</term>
<term>Mâle</term>
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<front><div type="abstract" xml:lang="en">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.</div>
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<tree><noCountry><name sortKey="Obonai, Toshimasa" sort="Obonai, Toshimasa" uniqKey="Obonai T" first="Toshimasa" last="Obonai">Toshimasa Obonai</name>
<name sortKey="Okamoto, Yoko" sort="Okamoto, Yoko" uniqKey="Okamoto Y" first="Yoko" last="Okamoto">Yoko Okamoto</name>
<name sortKey="Shirai, Kentaro" sort="Shirai, Kentaro" uniqKey="Shirai K" first="Kentaro" last="Shirai">Kentaro Shirai</name>
<name sortKey="Sugawara, Yuji" sort="Sugawara, Yuji" uniqKey="Sugawara Y" first="Yuji" last="Sugawara">Yuji Sugawara</name>
<name sortKey="Terada, Hitoshi" sort="Terada, Hitoshi" uniqKey="Terada H" first="Hitoshi" last="Terada">Hitoshi Terada</name>
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<country name="Japon"><noRegion><name sortKey="Takanashi, Jun Ichi" sort="Takanashi, Jun Ichi" uniqKey="Takanashi J" first="Jun-Ichi" last="Takanashi">Jun-Ichi Takanashi</name>
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