دورية أكاديمية
[Myocardial Infarction and resuscitation of an adolescent: consequences of an unexplained disease].
| العنوان: | [Myocardial Infarction and resuscitation of an adolescent: consequences of an unexplained disease]. |
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| عنوان ترانسليتريتد: | Myocardinfarct en reanimatie bij een adolescent. |
| المؤلفون: | de Jong JJD; Medisch Spectrum Twente,Thorax Centrum Twente, Enschede.; Contact: Jaap Jan D. de Jong (jaap_jan_de_jong@hotmail.com)., Slenter RHJ; Medisch Spectrum Twente, Thorax Centrum Twente, Enschede., van Lierop P; Medisch Spectrum Twente,afd. Kindergeneeskunde, Enschede., Wagenaar LJ; Medisch Spectrum Twente, Thorax Centrum Twente, Enschede. |
| المصدر: | Nederlands tijdschrift voor geneeskunde [Ned Tijdschr Geneeskd] 2021 Aug 25; Vol. 165. Date of Electronic Publication: 2021 Aug 25. |
| نوع المنشور: | Case Reports; Journal Article |
| اللغة: | Dutch; Flemish |
| بيانات الدورية: | Publisher: Vereniging NTvG Country of Publication: Netherlands NLM ID: 0400770 Publication Model: Electronic Cited Medium: Internet ISSN: 1876-8784 (Electronic) Linking ISSN: 00282162 NLM ISO Abbreviation: Ned Tijdschr Geneeskd Subsets: MEDLINE |
| أسماء مطبوعة: | Publication: 2017?-: Amsterdam : Vereniging NTvG Original Publication: Houten : Bohn Stafleu van Loghum |
| مواضيع طبية MeSH: | Coronary Aneurysm*/diagnosis , Mucocutaneous Lymph Node Syndrome*/complications , Mucocutaneous Lymph Node Syndrome*/diagnosis , Myocardial Infarction*/diagnosis , Myocardial Infarction*/etiology, Adolescent ; Aspirin ; Humans ; Immunoglobulins, Intravenous ; Male |
| مستخلص: | Background: Morbus Kawasaki is defined by unexplained fever combined with at least 4 out of 5 classic symptoms: bilateral conjunctivitis, polymorphic exanthema, strawberry tongue and red swollen lips, extremity changes and cervical lymphadenopathy. However, these symptoms do not always occur completely or simultaneously. Case Description: An 18-year old man was admitted after an out of hospital cardiac arrest caused by an occluded aneurysmatic LAD, which was treated with a percutanious coronary intervention. Coronary angiogram however also revealed coronary aneurysms of all coronaries, identifying an episode of unexplained fever and vasculitis 4 years prior as Morbus Kawasaki. Conclusion: Echocardiogram, CTA and MRA can reveal coronary malformations and thus identify M. Kawasaki when there is an incomplete M. Kawasaki. An early diagnosis and treatment with high dose aspirin and intravenous immunoglobulines is essential to reduce the risk of cardiovascular complications later in life. |
| المشرفين على المادة: | 0 (Immunoglobulins, Intravenous) R16CO5Y76E (Aspirin) |
| تواريخ الأحداث: | Date Created: 20210915 Date Completed: 20211001 Latest Revision: 20220531 |
| رمز التحديث: | 20221213 |
| PMID: | 34523827 |
| قاعدة البيانات: | MEDLINE |
| تدمد: | 1876-8784 |
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