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Postsplenectomy Kawasaki disease in a 17-year‑old male

Authors Gharebaghi N, Aghdashi M, Seyed Mokhtari SA

Received 9 May 2018

Accepted for publication 2 August 2018

Published 30 October 2018 Volume 2018:11 Pages 287—292


Checked for plagiarism Yes

Review by Single anonymous peer review

Peer reviewer comments 3

Editor who approved publication: Professor Ronald Prineas

Naser Gharebaghi,1 Miramir Aghdashi,2 Seyed Arman Seyed Mokhtari3

1Department of Infectious Disease, Faculty of Medicine, Urmia University of Medical Science, Urmia, Iran; 2Department of Rheumatology and Internal Medicine, Faculty of Medicine, Urmia University of Medical Science, Urmia, Iran; 3Student Research Committee, Urmia University of Medical Sciences, Urmia, Iran

Abstract: Kawasaki disease (KD) is characterized with an acute systemic vasculitis of the medium- and small-sized vessels. This disease mainly involves children within the age of 6 months to 5 years and it is often self-limited and patients seem to recover well; however, it may lead to devastating and fatal cardiovascular complications such as coronary artery aneurysm. Thus, early diagnosis and appropriate management of this disease have a significant effect on improving the prognosis and preventing its serious complications. Adult-onset KD (AKD) is rare and often misdiagnosed. Here we report a rare case of KD that occurred in a 17-year-old young adult who presented 4 weeks post splenectomy, with clinical signs and symptoms consistent with AKD. This may potentially highlight the association of AKD with infectious etiologies.

Keywords: Kawasaki disease, adult, splenectomy

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