Coronary artery lesion is the most prominent cardiac manifestation in Kawasaki disease. However, few cases of life-threatening cardiac arrhythmia were reported in the acute phase of Kawasaki disease.Patient concerns:
A 1-year-old girl presented in the hospital with ventricular premature beats and ventricular tachycardia after 2 days of fever.Diagnosis:
On the fifth day of fever, the diagnosis of Kawasaki disease was achieved.Interventions:
Immunoglobulin was administered.Outcome:
The temperature became normal and ventricular arrhythmia disappeared.Lessons:
This case suggests that Kawasaki disease has various clinical manifestations besides typical features, and it can cause life-threatening cardiac arrhythmia in the acute phase with normal coronary artery and normal cardiac function.