TITLE:
Kawasaki Disease in a Togolese Child
AUTHORS:
Koffi Mawuse Guedenon, Doguénsaga Borgatia Attah, Djatougbe Ayaovi Elie Akolly, Mawouto Fiawoo, Kokou Placide Agbo-Kpati, Adama Dodji Gbadoe
KEYWORDS:
Kawasaki Disease, Lympho-Cutaneous-Mucosal Syndrome, Vascularity, Coronary Aneurysm
JOURNAL NAME:
Open Journal of Pediatrics,
Vol.12 No.2,
April
22,
2022
ABSTRACT: Introduction: Kawasaki disease (KD) is a severe febrile vasculitis that affects
children under 5 years of age. The severity of KD is related to coronary
involvement. Few cases have been reported in sub-Saharan Africa. Objective: We
present a clinical observation of a
Togolese infant to illustrate the typical clinical picture that every pediatrician
should know. Observation: The patient was a 20-month-old infant from
Togo who presented with conjunctivitis, cheilitis, stomatitis, and
pharyngitis in a febrile setting. There was a satellite sub-maxillary
adenopathy. There was a persistent biological inflammatory syndrome with
thrombocytosis and a doppler ultrasound confirmed the diagnosis of a coronary aneurysm.
Treatment was based on corticosteroid therapy and acetylsalicylic acid with
success. Conclusion: KD involves cardiac complications that require
rigorous and sometimes long-term monitoring to prevent death.