Kawasaki disease needs to be ruled out in young children with fever

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Approximately three-quarters of Kawasaki disease patients are children below the age of five.

Clusters of children and teens with Covid-19 in Europe and North America have been admitted to the intensive care unit with features similar to Kawasaki disease and toxic shock syndrome. — AFPThe first cases outside of Japan were reported in Hawaii, United States, in 1976.

It is the most common cause of acquired heart disease in children, as it causes inflammation of the blood vessel walls, especially in the coronary arteries that supply blood to the heart muscles.The exact cause is still unknown, but it is not directly contagious.The most common symptom of Kawasaki disease is a high fever, between 38.3-39.4°C, which lasts more than four days, and has little to no response to common over-the-counter fever medications.

Your child’s paediatrician will have to decide based on the combination of symptoms and signs if your child really has this condition. Due to the high risk of complications, your child will likely be hospitalised while receiving initial treatment.Affected patients require plenty of fluid to avoid dehydration.While most children do recover completely, there are rare cases where inflammation of the blood vessels leads to weakening of the artery walls, causing bulging .

 

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