A 3-year-old boy presents with 6 days of high fever (39.8°C), bilateral conjunctival injection, strawberry tongue, cracked lips, and cervical lymphadenopathy. On examination, he has edema of hands and feet with erythematous rash on trunk. Vital signs show tachycardia (HR 128/min), tachypnea (RR 26/min), and BP 105/68 mmHg. Echocardiography reveals coronary artery dilation. No oral ulcers are noted. He takes no chronic medications. Which complication requires closest monitoring?
- A)Coronary artery aneurysmGABARITO
- B)Thoracic aortic dissection
- C)Berry aneurysm
- D)Temporal artery occlusion
- E)Pulmonary artery embolism
Explicação
Kawasaki disease is a medium vessel vasculitis of childhood that can involve coronary arteries and cause aneurysm formation and thrombosis. The mucocutaneous findings and prolonged fever are classic. Treatment with IVIG and aspirin reduces the risk of coronary... Ver explicação completa e trilha adaptativa →