Ventricular arrhythmia as an initial sign in acute Kawasaki disease: A case report

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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.


On the fifth day of fever, the diagnosis of Kawasaki disease was achieved.


Immunoglobulin was administered.


The temperature became normal and ventricular arrhythmia disappeared.


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.

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