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

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Abstract

Rationale:

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.

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