A 3 year old boy is brought to the emergency department because of persistent fever for 6 days. He has conjunctival injection, cracked lips, a strawberry tongue, a diffuse rash, and desquamation of the fingers. He is treated with intravenous immunoglobulin. This therapy most directly reduces the risk of which of the following complications?

  1. A)Coronary artery aneurysmGABARITO
  2. B)Aortic coarctation
  3. C)Atrial myxoma
  4. D)Rupture of the interventricular septum
  5. E)Pulmonary valve stenosis

Explicação

Coronary artery aneurysm is correct. Kawasaki disease is a medium vessel vasculitis of childhood that can involve the coronary arteries and predispose to thrombosis or myocardial infarction. Intravenous immunoglobulin and aspirin are given to reduce coronary c... Ver explicação completa e trilha adaptativa →

Fazer o diagnóstico grátis de USMLE