Multiple Giant Succular and Fusiform Right and Left Coronary Artery Aneurysms after Early and Adequate Treatment of Atypical Kawasaki Disease with Unusual Presentation

Abstract

The major complication of Kawasaki disease is coronary artery dilatation and aneurysm. It occurs in approximately 15-25% of untreated children with Kawasaki Disease. Early diagnosis and treatment with Intravenous immune globulin (IVIG) and aspirin (ASA) can reduce the incidence of coronary artery abnormality to 2%-5%. We report one case of Atypical Kawasaki Disease with Multiple giant coronary artery aneurysms despite early adequate treatment with IVIG and ASA.

Keywords

• Kawasaki disease
• Giant coronary aneurysm
• Atypical manifestation
• Adolescent