Myocardial infarction in a young man due to coronary artery aneurysms after an undiagnosed Kawasaki disease

Sumbul Javed Mirza; Khalifa Omar Mohammed; Fahad Omar Baslaib

doi:10.1016/j.jemermed.2013.11.082

Myocardial infarction in a young man due to coronary artery aneurysms after an undiagnosed Kawasaki disease

J Emerg Med. 2014 Jun;46(6):763-6. doi: 10.1016/j.jemermed.2013.11.082. Epub 2014 Feb 22.

Authors

Sumbul Javed Mirza¹, Khalifa Omar Mohammed¹, Fahad Omar Baslaib¹

Affiliation

¹ Department of Cardiology, Rashid Hospital, Dubai Health Authority, Dubai, United Arab Emirates.

PMID: 24565879
DOI: 10.1016/j.jemermed.2013.11.082

Abstract

Background: Kawasaki disease usually affects infants and young children. It often goes unrecognized in adults due to varying symptoms and lack of definite diagnostic criteria.

Objectives: To describe the potential for acute myocardial infarction as a complication of antecedent Kawasaki Disease (KD).

Case report: We describe a case of a 19-year-old man who presented to the Emergency Department (ED) with an acute myocardial infarction that was subsequently determined to be the result of previously untreated KD.

Conclusion: Kawasaki disease can cause coronary complications in a teenager. A high level of suspicion in the ED can help in proper management of these patients.

Keywords: Coronary artery aneurysms (CAA); Kawasaki disease (KD); coronary angiography (CAG).

Publication types

Case Reports

MeSH terms

Coronary Aneurysm / diagnosis
Coronary Aneurysm / etiology*
Humans
Male
Mucocutaneous Lymph Node Syndrome / complications*
Mucocutaneous Lymph Node Syndrome / diagnosis*
Myocardial Infarction / etiology*
Young Adult