CASE REPORT: KAWASAKI SYNDROME WITH ACUTE RENAL FAILURE PRESENTATION

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MAHMOUDZADEH HASHEM; NIKIBAKHSH A.A.; GHEYBI SH.

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Journal Paper

Paper Information

Journal: Journal of Kermanshah University of Medical Sciences Year:2008 | Volume:12 | Issue:3 (38) Page(s): 323-329

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Information Journal Paper

Title

CASE REPORT: KAWASAKI SYNDROME WITH ACUTE RENAL FAILURE PRESENTATION

Author(s)

MAHMOUDZADEH HASHEM | NIKIBAKHSH A.A. | GHEYBI SH. | Issue Writer Certificate

Keywords

KAWASAKI DISEASEQ3

ACUTE RENAL FAILUREQ3

VASCULITISQ3

Abstract

Introduction: KAWASAKI DISEASE is a common VASCULITIS with the potential to debilitate all the organs. Yet, it commonly affects the heart, the skin,and the lymph nodes. Kidney complications resulted from this condition is not usually associated with any symptoms and can only be detected in the lab.Nevertheless, in some cases, severe kidney complications are apparent. This study reports a Kawasaki patient with ACUTE RENAL FAILURE.History: The patient was a seven-year-old girl hospitalized for ACUTE RENAL FAILURE. She was put on antibiotics with the diognosis of pyelonephritis ESR was over 100 mm. As no improvement was observed after antibiotics, the patient was diagnosed with Kawasaki and then was treated with IVIG.Through the process, serum creatinine increased over 3 mg/dl (3.2 mg/dl) and GFR was under 20 cc/1.73 m2). Having rejected other causes of ACUTE RENAL FAILURE, the condition was confirmed as Kawasaki.Improvement was observed within a few weeks using special treatments and finally kidney biopsy.Conclusion: Kawasaki condition is rarely associated with ACUTE RENAL FAILURE. In most cases, there is no need for special treatments and improvement is observed without any medication. However, early diagnosis of Kawasaki helps prevent ACUTE RENAL FAILURE in severe cases.

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