SciELO - Scientific Electronic Library Online

vol.67 issue2Biases in diagnostic test studies: impact on estimating sensitivity and specificityHemophagocytic syndrome associated with Hodgkin lymphoma and Epstein-Barr virus infection. A case report author indexsubject indexsearch form
Home Pagealphabetic serial listing  

Services on Demand




Related links

  • Have no similar articlesSimilars in SciELO


Revista alergia México

On-line version ISSN 2448-9190


GARCIA-DOMINGUEZ, Miguel; RIVIERA-NAVARRO, David; QUIBRERA, José  and  PEREZ-GAXIOLA, Giordano. Giant coronary aneurysms in infant with Kawasaki disease shock syndrome. Rev. alerg. Méx. [online]. 2020, vol.67, n.2, pp.174-182.  Epub Jan 27, 2021. ISSN 2448-9190.


Kawasaki disease shock syndrome is a rare presentation of Kawasaki disease, in which cardiovascular manifestations associated with elevated inflammation biomarkers that develop hypotension are observed. It is preceded by gastrointestinal and neurological manifestations, with an increased risk of coronary lesions and resistance to intravenous immunoglobulin.

Case report:

A 5-month-old male patient with a fever that had developed in the last week, gastrointestinal and neurological symptoms with hypotensive shock, urticarial rash, BCG lymphadenitis, and edema of palms and soles. Giant coronary aneurysms were evident, so Kawasaki disease shock syndrome was diagnosed, which was treated with corticosteroid pulse and intravenous immunoglobulin.


Clinicians must suspect Kawasaki disease shock syndrome when there is hypotensive shock, and the gastrointestinal, neurological and mucocutaneous symptoms that are characteristic of the disease, especially in infants under one year of age. The timely treatment of this disease reduces severe complications.

Keywords : Kawasaki disease; Kawasaki disease shock syndrome; Aortic aneurysm; Intravenous immunoglobulin.

        · abstract in Spanish     · text in Spanish     · Spanish ( pdf )