<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>0035-0052</journal-id>
<journal-title><![CDATA[Revista mexicana de pediatría]]></journal-title>
<abbrev-journal-title><![CDATA[Rev. mex. pediatr.]]></abbrev-journal-title>
<issn>0035-0052</issn>
<publisher>
<publisher-name><![CDATA[Sociedad Mexicana de Pediatría A.C.]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S0035-00522021000600239</article-id>
<article-id pub-id-type="doi">10.35366/105426</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Lactante de tres meses con aneurismas coronarios por enfermedad de Kawasaki]]></article-title>
<article-title xml:lang="en"><![CDATA[Three-month-old infant with coronary aneurysms due to Kawasaki disease]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Lara-Escalera]]></surname>
<given-names><![CDATA[Sonia Cristina]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Reyes-Viera]]></surname>
<given-names><![CDATA[Luz Marina]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[González-Arenas]]></surname>
<given-names><![CDATA[Efrén]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Instituto de Seguridad y Servicios Sociales de los Trabajadores del Estado (ISSSTE) Centro Médico Nacional 20 de Noviembre ]]></institution>
<addr-line><![CDATA[Ciudad de México ]]></addr-line>
<country>México</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Instituto de Seguridad y Servicios Sociales de los Trabajadores del Estado (ISSSTE) Centro Médico Nacional 20 de Noviembre ]]></institution>
<addr-line><![CDATA[Ciudad de México ]]></addr-line>
<country>México</country>
</aff>
<aff id="Af3">
<institution><![CDATA[,Instituto de Seguridad y Servicios Sociales de los Trabajadores del Estado (ISSSTE) Centro Médico Nacional 20 de Noviembre Servicio de Infectología Pediátrica]]></institution>
<addr-line><![CDATA[Ciudad de México ]]></addr-line>
<country>México</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>12</month>
<year>2021</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>12</month>
<year>2021</year>
</pub-date>
<volume>88</volume>
<numero>6</numero>
<fpage>239</fpage>
<lpage>243</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_arttext&amp;pid=S0035-00522021000600239&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_abstract&amp;pid=S0035-00522021000600239&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_pdf&amp;pid=S0035-00522021000600239&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen:  Introducción:  La enfermedad de Kawasaki (EK) es un síndrome febril agudo, multisistémico, que causa vasculitis de pequeño y mediano calibre con predilección por las arterias coronarias. Habitualmente se presenta en niños de seis meses a cinco años de edad. En niños de menor edad, es difícil su diagnóstico, pero aumenta el riesgo de desarrollo aneurismas en arterias coronarias.  Presentación del caso:  Masculino de 45 días, en quien el diagnóstico de EK se confirmó en el día 30 de haber iniciado el cuadro clínico, caracterizado por fiebre persistente, y posteriormente exantema y descamación. Durante las primeras semanas del padecimiento, el paciente fue tratado por faringoamigdalitis e infección de vías urinarias, sin presentar resolución de la fiebre. El diagnóstico se confirmó por ecocardiograma al documentar aneurismas coronarios, uno fusiforme (z-score +7.7 y 7.1) y el otro sacular (z-score +9.2) con trombo en su interior.  Conclusiones:  En edades muy tempranas, la EK puede ser un reto para llegar al diagnóstico. En estos casos, el ecocardiograma puede ser de gran ayuda para identificar pacientes con esta condición.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract:  Introduction:  Kawasaki disease (KD) is an acute multisystemic febrile syndrome that causes small and medium caliber vasculitis with a predilection for the coronary arteries. It usually occurs in children between six months and five years of age. In younger children, its diagnosis is difficult, but it increases the risk of developing aneurysms in coronary arteries.  Presentation of the case:  A 45-day-old male, in whom the diagnosis of KD was confirmed on day 30 after the onset of the clinical picture. The patient had persistent fever and, subsequently, rash and desquamation. During the first weeks of the illness, the patient was treated for pharyngotonsillitis and urinary tract infection, with no resolution of the fever. The diagnosis was confirmed by echocardiogram, which documented coronary aneurysms, one fusiform (z-score +7.7 and 7.1), and the other saccular (z-score +9.2) with a thrombus inside.  Conclusions:  At a very young age, KD can be challenging to reach a diagnosis. In these cases, the echocardiogram can be of great help in identifying patients with this condition.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[Enfermedad de Kawasaki]]></kwd>
<kwd lng="es"><![CDATA[aneurismas coronarios]]></kwd>
<kwd lng="es"><![CDATA[complicaciones]]></kwd>
<kwd lng="es"><![CDATA[ecocardiografía]]></kwd>
<kwd lng="es"><![CDATA[lactante]]></kwd>
<kwd lng="en"><![CDATA[Kawasaki disease]]></kwd>
<kwd lng="en"><![CDATA[coronary aneurysms]]></kwd>
<kwd lng="en"><![CDATA[complications]]></kwd>
<kwd lng="en"><![CDATA[echocardiography]]></kwd>
<kwd lng="en"><![CDATA[infant]]></kwd>
</kwd-group>
</article-meta>
</front><back>
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