Kawasaki disease

Suspicious fever of unknown originA 5-month-old Hispanic boy, previously healthy, presents to the emergency department (ED) for 5 days of fever, 3 days of diarrhea and rash, and 2 days of vomiting. He had been diagnosed with acute otitis media by his primary care physician 3 days prior to his presentation and started on amoxicillin. The parents brought their son to the ED because of his persistent fever up to 104°F and decreased oral intake. He has no recent travel and no known sick contacts. His immunizations are up to date and he has never been hospitalized. He was born in the United States, full term with an uncomplicated birth history.
Coronary artery lesions in Kawasaki disease are related to gene polymorphismsThe risk of coronary artery lesions (CALs) in Kawasaki disease (KD) is related to CYP2E1 gene polymorphisms, a study from Taiwan confirmed.
CARDIOLOGY: Critical cardiac problemsIdentifying “Critical Cardiac Problems Commonly Missed in Office Practice” involves recognizing red flags that indicate a need for greater scrutiny, said Kevin M. Shannon, MD, FAAP.
Boy’s lymphadenopathy leads to acute heart failureYou are the night float senior on inpatient hospital service when you receive a transfer from an outside hospital of a 5-year-old Hispanic male who presented with 2 days of fever, unilateral neck swelling with torticollis, and neck pain.
Infliximab promising for treatment of Kawasaki diseaseInfliximab, a monoclonal antibody, may be an effective treatment for children with Kawasaki disease, results of a recent study suggest.
Kawasaki shows a seasonal preferenceIt seems that far more cases of Kawasaki disease occur in the winter than at any other time during the year, new research finds.