Enfermedad de Kawasaki. Experiencia en un hospital de segundo nivel

Objective: To determine the prevalence of Kawasaki disease in a secondary hospital. Materials and methods: A retrospective, descriptive, observational, study was conducted over a period of five years. We reviewed a total of 3,561 hospital discharges from the Department of Pediatrics and selected 15 patients diagnosed with Kawasaki disease. Results: The prevalence of Kawasaki disease was 4.2% as the diagnosis of hospital discharge. The average age was 35 months, with a predominance of male and a ratio of 2.7:1. All expressed a fever and rash. Fourteen patients (93%) had conjunctival injection, changes in lips, mouth and limbs. The less frequent clinical manifestation was the cervical lymph nodes (33%). The sedimentation rate was elevated and C-reactive protein was reported positive. Hematologic abnormalities such as anemia, thrombocytosis and fever occurred in more than 90% of patients. The initial echocardiogram showed coronary ectasia in two patients, with regression of the Dr. Alejandro Del Angel Aguilar1* Dr. Raymundo Rodriguez Herrera2 Dr. Jose Luis Diaz Luna1 Dr. Pastor Escarcega Fujigaki1 Dr. Guillermo Hernandez Peredo Rezk1 Dr. Jose Gerardo Alonso Acosta3 Dr. Edgar Huerta Murrieta1 Dr. Juan Carlos Galan Hernandez1 1 Medicos Adscritos al Departamento de Pediatria del Centro de Especialidades Medicas del Estado de Veracruz “Dr. Rafael Lucio”. 2 Medico Adscrito del Departamento de Medicina Interna del Instituto Nacional de Pediatria. 3 Cardiologo Pediatra del Centro de Especialidades Medicas del Estado de Veracruz “Dr. Rafael Lucio”. www.medigraphic.org.mx