Overview

What is Pediatric Kawasaki Disease?

Rare diseases like Kawasaki disease primarily affect infants between 0 and 5 years, though it can sometimes strike those as young as 13. Such a condition of vasculitis is there. Vasculitis is a term medically referring to an inflammation of blood vessels. It can affect every part of the body. It also includes the heart's coronary arteries.

What are the symptoms of a child with Kawasaki disease?

The symptoms of Kawasaki disease are as shown below:

  • Fever of 102.0 ° F to 104.0 ° F (38.8 ° C to 40.0 ° C) for at least 5 days
  • Red rash
  • A blown lymph knot, commonly in the neck
  • Blown hands and bases
  • Red eyes
  • Red and dry cracked lips
  • Red lingo with white spots (known as "strawberry lingo " perversity
  • Tachycardia
  • Diarrhea or vomiting
  • Skin peeling

The symptoms of Kawasaki disease can overlap with the features of other diseases. Your child should be diagnosed by her doctor.

What are the possible causes of Kawasaki disease in a child?

No reason has been found for Kawasaki disease. Scientists think that it can be an infection.

How is Kawasaki disease diagnosed in a child?

A child's doctor usually diagnoses Kawasaki disease relying on the results of a physical test and the symptoms presented to them. So long as a patient meets four of the criteria outlined below while ruling out other possible causes, a patient experiencing fever for five days can be diagnosed with Kawasaki disease. Of these, one is bloodshot eyes.

  • Fillings in the mouth changed
  • Rash
  • Swollen lymph lumps

Other tests which should be performed include:

Lab tests:

  • Blood and urine samples would be drawn to look for signs of inflammation and, thus, help eliminate other medical conditions.
  • Electrocardiogram: An adhesive patch is placed on your child's chest. This records the electrical activity of the heart. The adhesive patch, by a cable, gets connected to a computer. The device records the electrical activity. This will help recognize rhythm and structural disorders of the heart.
  • Echocardiogram (echo): This test takes an image of the heart by measuring the waves of sound. It might implicate structural, valvular, or functional abnormalities in the heart.
  • Cardiac catheterization: A thin tube is inserted into the blood vessels to take X-ray pictures of the coronary arteries

How does Kawasaki disease manage?

The treatment depends on the symptoms, age, and general health of your child and how severe it is. In most cases, it begins as soon as the problem is suspected. Your child may need to stay in the sanitarium for quite many days or even more.

Your child's physician might give your child aspirin or IV gamma globulin, IVIG. If the aspirin and IVIG are not working satisfactorily, his physician will prescribe medications like corticosteroids. When your child is discharged from the hospital, he might be sent home on a low-dose cure of aspirin for 6 to 8 weeks. Never let your child take aspirin without consulting a doctor.

However, the provider can refer you to a pediatric cardiologist in case your child develops heart disease. This is a doctor specializing in treating children's heart disease. Your child might need medication and surgery.

What can be complications of Kawasaki disease?

Children with Kawasaki disease get better within a few weeks. However, severe complications may occur. Those that involve the heart include:

  • Coronary artery aneurysm
  • Poorly functioning heart muscle or heart attack
  • Inflammation of the muscle of the heart (myocarditis),
  • Filling of the heart (endocarditis) or covering of the heart (pericarditis)
  • Heart valves that do not work properly
  • Heart failure

This condition may also affect other body organs, including the nervous, vulnerable, digestive, and urinary systems.

Which children are at risk for Kawasaki disease?

Kawasaki disease can be present in children of any race. In the United States, it most commonly occurs in children whose parents are of East Asia or Asian descent. Kawasaki disease most frequently occurs in children younger than 5 years; the illness also tends to occur more often in boys than in girls.  Kawasaki disease is treated in a child by

  • Depending on the location and type of aneurysm, your child may require echocardiograms, for instance, for several weeks following the illness.
  • Your child may need more assistance, such as anticoagulation, to control clots. Even when your child appears to be doing all right, they should continue seeing a doctor.
  • Within days of the diagnosis of Kawasaki Syndrome there is an increased risk to develop coronary artery aneurysms, which in itself may cause a heart attack to occur very early in life.
  • Somewhere about healthy hearts over the long run is that your child will not smoke, eat well-balanced diets, and exercise regularly throughout childhood.
  • Regular follow-up with pediatric cardiologist until the child grows into childhood
  • Discuss the likelihood with your pediatrician

What will happen to my child if diagnosed with Kawasaki disease?

Kawasaki disease diagnosis usually occurs in a hospital, but patient admission experiences variability. Your child can be discharged from the sanitarium when they are duly prepared for that:

  • They can take fluids.
  • Taking medication as per prescribe
  • There is no sign of fever or inflammation

Post-discharge, follow up with primary doctors, a contagious disease doctors, and a cardiologist. They will closely follow your child; his lab work will be repeated until he doesn't need any more medication.

A cardiologist will also refer your child to follow-up echocardiograms a week or two following discharge from the sanitarium, then a few months later. Your child will need to have more frequent echocardiograms if they do have problems with their coronary artery.

What can I do to care for my child?

You can observe your child by keeping your child's vaccinations up-to-date, including COVID-19, influenza, and varicella, during aspirin. There is a small risk of Reye's syndrome in children who take aspirin with a viral illness. Do not vaccinate your child with live contagion vaccines (such as the measles-mumps-rubella, varicella, and nasal live contagion influenza vaccines) for 11 months after IVIG. This is because the IVIG may interfere with their body's ability to make antibodies to these infections. Restrictive conditioning if your child's echocardiogram has abnormalities.

Why Tender Palm Super-Speciality Hospital for Kawasaki disease?

Tender Palm Hospital has the most experienced team of Pediatric Cardiologists, Pediatric Cardiac Surgeons, and diagnostics with the latest and International standard infection control measures in Lucknow, India. Pediatric cardiac science centre team has decades of experience in successfully treating Pediatric Kawasaki Disease.

To seek an expert consultation for Pediatric Kawasaki Disease in Lucknow, India

Call us at +91-9076972161
Email at care@tenderpalm.com

Request an Appointment
Mon - Sat 9:00 AM to 6:00 PM IST

Our Experts

Dr. Krishna Kumar Sahani
Dr. Krishna Kumar Sahani
Consultant - Cardiology

Awards & Accreditations