Abstract
Background: Recently a severe form of COVID-19 infection has been described in a cluster of children presenting as multisystem inflammatory condition. One of the important spectrum of this condition is incomplete Kawasaki disease (KD).
Case report: A 5-month-old male child presented with high-spiking fever for 5 days with skin rash, bilateral non-purulent conjunctivitis and irritability. His C-reactive protein was markedly elevated (215.4 mg/l). Echocardiography revealed dilated left main coronary artery (3.0 mm, Z score +4.30) and left anterior descending artery (2.37 mm, Z score +3.76). Concomitantly Reverse Transcription- Polymerase Chain Reaction for COVID-19 was positive on fifth day sample. He was diagnosed as incomplete KD with COVID-19 infection and treated with intravenous immunoglobulin (IVIG) (2 g/kg), oral aspirin and azithromycin. Patient improved after 48 h and was discharged on oral aspirin.
Conclusion: Incomplete KD may co-exist with COVID-19 infection in infant. Early institution of IVIG may lead to better outcome.
Keywords: COVID-19 infection; incomplete Kawasaki disease; infant.
【저자키워드】 Infant, COVID-19 infection, incomplete Kawasaki disease, 【초록키워드】 COVID-19, Intravenous immunoglobulin, children, Infection, C-reactive protein, outcome, echocardiography, Kawasaki disease, Fever, male, Cluster, Aspirin, reaction, chain, skin rash, positive, irritability, inflammatory condition, Z score, described, diagnosed, elevated, treated, discharged, presenting, descending, Incomplete, with COVID-19, 【제목키워드】 COVID-19, report, presentation, Incomplete,