Late-diagnosed Incomplete Kawasaki Disease Complicated by Giant Coronary Artery Aneurysms and Ischemic Heart Failure: A Pediatric Case Report
Makaleler > Tam Makale · 2026
Yazarlar: Seyma Sebnem On, Eser DOĞAN, Zulal Ulger, Meral Yilmaz, Burcu Bufra Acar Alkan, Hakan Kurt, Burcugul Karasulu Beci, Osman Nuri Tuncer, Yüksel ATAY, Refit Erturk Levent
JOURNAL OF PEDIATRIC RESEARCH, ESCI İndekslerine Giren Dergi, Uluslararası, Wos, 2026, cilt 13, ss 184-188
DOI: 10.4274/jpr.galenos.2026.23922
Özet
Incomplete Kawasaki disease may present significant diagnostic challenges in young infants, frequently leading to delayed diagnosis and severe coronary complications. We report on a 3.5-month-old infant with a delayed diagnosis of incomplete Kawasaki disease who developed bilateral giant coronary artery aneurysms with progressive coronary obstruction. Despite appropriate medical management including immunoglobulin therapy and antithrombotic treatment, the patient developed ischemic heart failure and ultimately required coronary artery bypass grafting. This case highlights the diagnostic difficulty of incomplete Kawasaki disease in early infancy and emphasizes the importance of early echocardiographic evaluation in infants with prolonged unexplained fever.