Abstract
Although Kawasaki disease (KD) is a self-limiting disease, it may cause sudden cardiac death. Diagnosis of KD is principally based on clinical signs; however, some infant cases do not meet the criteria. Such cases are identified as incomplete KD. The sudden death risk in incomplete KD cases is similar to conventional KD. In our 5-month-old case, he had been admitted to a hospital for a fever and suppuration at the site of Bacille de Calmette et Guerin (BCG) vaccination. However, after discharge from the hospital, his C-reactive protein (CRP) levels declined, he got indisposed and died suddenly. A medico-legal autopsy revealed myocarditis, coronaritis, platelet-aggregated emboli in coronary arteries, and myocardial degeneration, suggesting that the fatal myocardial infarction was due to thrombus emboli in the coronary arteries. Forensic pathologists therefore should pay attention to the cardiac pathology originated from incomplete KD as a potential cause in cases of sudden infant death.
References
Nov 1, 1991·Acta Pathologica Japonica·S NaoeN Tanaka
Dec 1, 1989·Acta Paediatrica Japonica; Overseas Edition·S YonesakaI Sekigami
Nov 1, 1986·The Journal of Pediatrics·J C BurnsM P Glodé
Jan 5, 2002·Human Pathology·E MaresiG Amato
Oct 24, 2002·Pediatric Emergency Care·Trina L Peduzzi, Raymond D Pitetti
Jan 22, 2003·Archives de pédiatrie : organe officiel de la Sociéte française de pédiatrie·P-H VanlieferinghenP Déchelotte
Jun 9, 2004·European Journal of Heart Failure·S Di SommaO de Divitiis
Dec 3, 2004·Pediatrics·Jane W NewburgerUNKNOWN Committee on Rheumatic Fever, Endocarditis, and Kawasaki Disease, Council on Cardiovascular Disease in the Young, American H
Mar 18, 2005·Pediatrics International : Official Journal of the Japan Pediatric Society·Mamoru AyusawaUNKNOWN Kawasaki Disease Research Committee
Jan 19, 2006·Pediatric Emergency Care·Maria Cristina DianaPasquale DiPietro
Mar 3, 2006·The Pediatric Infectious Disease Journal·Feng-Yu ChangJen-Her Lu
Aug 21, 2010·Circulation Journal : Official Journal of the Japanese Circulation Society·UNKNOWN JCS Joint Working Group
Mar 23, 2011·Journal of Forensic and Legal Medicine·Irena NovoselJosip Skavić
Oct 25, 2011·Journal of Pediatric Health Care : Official Publication of National Association of Pediatric Nurse Associates & Practitioners·Robin Gerding
Feb 11, 2012·Pediatric Cardiology·Angela PucciGiovanni Bartoloni
Nov 9, 2012·Histopathology·Mana HaradaKei Takahashi
Mar 12, 2013·Case Reports in Pediatrics·Samin AlaviArmin Rashidi
May 8, 2013·Journal of Paediatrics and Child Health·Deane YimDavid Burgner
Dec 4, 2013·BMC Research Notes·Salvatore LeonardiMario La Rosa
Jan 28, 2014·Ultrastructural Pathology·Jan M Orenstein
Feb 4, 2014·Journal of Autoimmunity·Judith Sánchez-ManubensJordi Anton
Apr 2, 2014·Annals of Pediatric Cardiology·Umakumaran Ponniah
Citations
Nov 22, 2019·World Journal of Clinical Cases·Ke-Fu ZhuYi-Min Tang
Nov 20, 2016·Journal of Forensic Sciences·Martin JaníkIvo Šteiner
Jan 21, 2020·Technology and Health Care : Official Journal of the European Society for Engineering and Medicine·Qing Zhang, Linjun Wang
Dec 12, 2020·Archives of Disease in Childhood·Haruki TakikawaYosikazu Nakamura