Continuous Hemofiltration Plus Plasma Exchange in Patient with Kawasaki Disease Shock Syndrome: A Case Report and Literature Review

Huijie Miao; Yun Cui; Fei Wang; Yucai Zhang; Chunxia Wang

Continuous Hemofiltration Plus Plasma Exchange in Patient with Kawasaki Disease Shock Syndrome: A Case Report and Literature Review

Ann Clin Lab Sci. 2019 Nov;49(6):829-834.

Authors

Huijie Miao¹, Yun Cui¹, Fei Wang¹, Yucai Zhang^{1

2}, Chunxia Wang^{3

2}

Affiliations

¹ Department of Critical Care Medicine, Shanghai Children's Hospital, Shanghai Jiao Tong University, Shanghai, China.
² Institute of Pediatric Critical Care, Shanghai Jiao Tong University, Shanghai, China.
³ Department of Critical Care Medicine, Shanghai Children's Hospital, Shanghai Jiao Tong University, Shanghai, China karencx0465@163.com.

PMID: 31882435

Abstract

A 3-year-old girl was diagnosed with Kawasaki disease shock syndrome (KDSS) and presented with multiple organ dysfunction. She was treated with bundle therapy from IVIG, aspirin, methylprednisolone, and continuous hemofiltration for fluid overload and acid-base imbalance. This process was followed by plasma exchange therapy twice. The clinical manifestations of this girl improved, and the patient was discharged on the 56^th day of hospitalization.

Keywords: Kawasaki disease shock syndrome; continuous hemofiltration; multiple organ dysfunction; plasma exchange.

Publication types

Case Reports
Review

MeSH terms

Child, Preschool
Female
Hemofiltration
Humans
Intensive Care Units, Pediatric
Mucocutaneous Lymph Node Syndrome / etiology
Mucocutaneous Lymph Node Syndrome / therapy*
Plasma Exchange
Shock / etiology
Shock / therapy*