The Southern Medical Journal (SMJ) is the official, peer-reviewed journal of the Southern Medical Association. It has a multidisciplinary and inter-professional focus that covers a broad range of topics relevant to physicians and other healthcare specialists.

SMJ // Article

Case Report

Acute Respiratory Distress Syndrome in a Child with Kawasaki Disease

Authors: April Lynne Palmer, MD, Thomas Walker, MD, J Clinton Smith, MD

Abstract

This report presents a case of classic Kawasaki disease with progression to acute respiratory distress syndrome. The severity of the patient's pulmonary disease led clinicians to suspect toxic shock syndrome. Clinicians need to be aware that pulmonary manifestations of Kawasaki disease can include acute respiratory distress syndrome.


Key Points


* Pulmonary disease may manifest in several different ways in Kawasaki disease (KD).


* Acute respiratory distress syndrome can occur in cases of severe KD.


* Patients with severe pulmonary findings in KD may be resistant to intravenous immunoglobulin.

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