Home > Journals > Minerva Pediatrica > Past Issues > Minerva Pediatrica 2006 April;58(2) > Minerva Pediatrica 2006 April;58(2):193-7

CURRENT ISSUE
 

ARTICLE TOOLS

Reprints

MINERVA PEDIATRICA

A Journal on Pediatrics, Neonatology, Adolescent Medicine,
Child and Adolescent Psychiatry


Indexed/Abstracted in: CAB, EMBASE, PubMed/MEDLINE, Science Citation Index Expanded (SciSearch), Scopus
Impact Factor 0,764


eTOC

 

CLINICAL CASES  


Minerva Pediatrica 2006 April;58(2):193-7

Copyright © 2006 EDIZIONI MINERVA MEDICA

language: English

Kawasaki’s disease with paralytic ileus. A case report

Pavone P. 1, 2, Nicolini A. 1, Armenia R. 1, D’Orazio A. 1, Nunnari G. 3, Nicolini E. 1

1 Pediatrics Unit, Civil Hospital OMPA, Ragusa, Italy 2 Department of Pediatrics University Polyclinic, Catania, Italy 3 Division of Infectious Diseases Thomas Jefferson University, Philadelphia, MA,USA


PDF  


The authors report on an 18 month-old boy affected by Kawasaki’s disease (KD). The diagnosis of KD was made after exclusion of conditions with similar presentation. Two days after admission the child presented vomiting, abdominal distension, meteorism and increase of scrotal swelling with edema. An abdominal X-ray showed the presence of multiple water and gas levels in the ileum and subsequent diagnosis of paralitic ileus was made. After several evacuative enema the intestinal symptomatology resolved. The patient was treated twice (2 g/kg day and after 3 days again 2 g/kg day) with intravenous immunoglobulin following which he made an uneventful recovery.
The authors conclude that the presence of paralytic ileus in a febrile child may represent an unusual clinical sign of KD and justify a timely commencement of intravenous immuno-globulin therapy.

top of page

Publication History

Cite this article as

Corresponding author e-mail