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Case Report
Online Published: 04 Jun 2025
 


A diagnostic challenge in Kawasaki disease: a case report

Kübra Nur Erdoğan, Mustafa Gençeli, Uğur Saraç, Özge Metin Akcan, Ayşe Büşra Paydaş, Fatih Şap.


Abstract
Kawasaki disease (KD) is characterized by high fever lasting more than five days, conjunctivitis, edema of hands or feet, erythema of the palms and soles, polymorphic rash, cervical lymphadenopathy, and alteration of oral mucosa and lips. It is most frequently seen in children between the ages of 6 months and 5 years. The diagnosis of Kawasaki disease remains challenging, primarily due to its incomplete presentation. In this report, we present a 3.5-month-old patient who has persistent fever and bilateral non-purulent conjunctivitis and high acute phase reactants, diagnosed with incomplete Kawasaki disease and coronary aneurysm. The patient was given intravenous immunoglobulin (IVIG) at 2 g/kg with oral aspirin at 80 mg/kg/day. On follow-up 48 hours later, marked clinical improvement was observed. Monthly cardiac evaluations were performed. Echocardiogram in the 3rd month of treatment showed internadimension of the proximal section of the left main coronary artery measuring 3 mm (Z score =3.8) and the aneurysm regressed. Even if cases with prolonged fever do not meet the diagnostic criteria for KD, they should be considered as atypical KD and IVIG should be considered.

Key words: Kawasaki disease; Coronary aneurysm; Fever.


 
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How to Cite this Article
Pubmed Style

Erdoğan KN, Genceli M, Sarac U, Akcan OM, Paydaş AB, Şap F. A diagnostic challenge in Kawasaki disease: a case report. Sudan J Paed. 2025; 25(1): 58-61. doi:10.24911/SJP.106-1737638101

Web Style

Erdoğan KN, Genceli M, Sarac U, Akcan OM, Paydaş AB, Şap F. A diagnostic challenge in Kawasaki disease: a case report. https://sudanjp.com//?mno=239419 [Access: June 27, 2026]. doi:10.24911/SJP.106-1737638101

AMA (American Medical Association) Style

Erdoğan KN, Genceli M, Sarac U, Akcan OM, Paydaş AB, Şap F. A diagnostic challenge in Kawasaki disease: a case report. Sudan J Paed. 2025; 25(1): 58-61. doi:10.24911/SJP.106-1737638101


Vancouver/ICMJE Style

Erdoğan KN, Genceli M, Sarac U, Akcan OM, Paydaş AB, Şap F. A diagnostic challenge in Kawasaki disease: a case report. Sudan J Paed. (2025), [cited June 27, 2026]; 25(1): 58-61. doi:10.24911/SJP.106-1737638101


Harvard Style

Erdoğan, K. N., Genceli, . M., Sarac, . U., Akcan, . O. M., Paydaş, . A. B. & Şap, . F. (2025) A diagnostic challenge in Kawasaki disease: a case report. Sudan J Paed, 25 (1), 58-61. doi:10.24911/SJP.106-1737638101


Turabian Style

Erdoğan, Kubra Nur, Mustafa Genceli, Uğur Sarac, Ozge Metin Akcan, Ayşe Buşra Paydaş, and Fatih Şap. 2025. A diagnostic challenge in Kawasaki disease: a case report. Sudanese Journal of Paediatrics, 25 (1), 58-61. doi:10.24911/SJP.106-1737638101


Chicago Style

Erdoğan, Kubra Nur, Mustafa Genceli, Uğur Sarac, Ozge Metin Akcan, Ayşe Buşra Paydaş, and Fatih Şap. "A diagnostic challenge in Kawasaki disease: a case report." Sudanese Journal of Paediatrics 25 (2025), 58-61. doi:10.24911/SJP.106-1737638101


MLA (The Modern Language Association) Style

Erdoğan, Kubra Nur, Mustafa Genceli, Uğur Sarac, Ozge Metin Akcan, Ayşe Buşra Paydaş, and Fatih Şap. "A diagnostic challenge in Kawasaki disease: a case report." Sudanese Journal of Paediatrics 25.1 (2025), 58-61. Print. doi:10.24911/SJP.106-1737638101


APA (American Psychological Association) Style

Erdoğan, K. N., Genceli, . M., Sarac, . U., Akcan, . O. M., Paydaş, . A. B. & Şap, . F. (2025) A diagnostic challenge in Kawasaki disease: a case report. Sudanese Journal of Paediatrics, 25 (1), 58-61. doi:10.24911/SJP.106-1737638101




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