“Un cuore in fiamme” Un caso di sindrome di Kawasaki complicata da dilatazioni coronariche severe e necessitante di terapia con anakinra
Rattachement africain : it. Niveau de preuve : code pays fourni par la source.
Le résumé fourni par la source
A 4-month-old infant residing in a foreign country, presented with high fever associated with poor general condition, bilateral conjunctivitis and livedo reticularis. Tests showed elevated inflammation markers with negative blood cultures, chest X-ray, abdominal ultrasound and lumbar puncture. After the failure of intravenous antibiotic therapy, systemic inflammatory disease was suspected. Therefore, the therapy with methylprednisolone (mPDN) and acetylsalicylic acid (ASA) was initiated and led to rapid defervescence. Due to a relapse of fever upon discontinuation of steroid therapy, and after two negative echocardiograms, intravenous immunoglobulin infusion was performed after 13 days of fever. The family then decided to discharge themselves from the hospital and take their child to our hospital where several investigations were carried out, revealing an increase in inflammation markers with no apparent focus. Given the strongly suspicious presentation for incomplete Kawasaki syndrome, weekly echocardiographic monitoring was started, which, about a month after the onset of symptoms, showed coronary aneurysms, initially small size, then medium size. As a result, therapy with anakinra was initiated with excellent clinical and radiological response.
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Le contrôle bibliographique ouvert
DOI retrouvé dans Crossref DOI retrouvé ; titre concordant.
- Titre Crossref
- “Un cuore in fiamme” Un caso di sindrome di Kawasaki complicata da dilatazioni coronariche severe e necessitante di terapia con anakinra
- Date Crossref
- 23/01/2026
- Éditeur
- Medico e Bambino
- Type
- journal-article
Ce recoupement confirme des métadonnées liées au DOI. Il ne confirme ni la méthode ni les conclusions de l’étude, et il ne compte pas comme une seconde source scientifique indépendante.
Où se fait cette recherche
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Istituto Nazionale di Fisica Nucleare pays non établi dans la noticeStructure de recherche
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University of Milano-Bicocca pays non établi dans la noticeUniversité ou école supérieure
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Azienda Ospedaliera San Gerardo pays non établi dans la noticeÉtablissement de santé
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Scuola di specializzazione in Pediatria pays non établi dans la noticeInstitution
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SC Pediatria Generale pays non établi dans la noticeInstitution
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Dip. di Medicina e Chirurgia pays non établi dans la noticeInstitution
Istituto Nazionale di Fisica Nucleare, University of Milano-Bicocca et Azienda Ospedaliera San Gerardo, avec 3 autres affiliations.
Une affiliation ne permet pas de déduire la nationalité d’un auteur.