Kawasaki disease case which in a complication leptospirosis

The aim of this article is to report second Kawasaki disease case which in a complication leptospirosis in literature. The severity of leptospira infections varies from subclinical illness to severely potential fatal status spectrum of renal and liver failure. Less common features include Kawasaki syndrome, cerebrovascular accidents, rhabdomyolysis, thrombocytopenic purpura, acute cholecytitis and erythema nodosum. Kawasaki disease is a form of vasculitis with several unusual aharacteristics. Its epidemiologic and clinical features strongly suggest an infectious etiology.
Case: Two years old previously healthy boy, admitted to our clinic with sudden onset of fever (39°-40°) lasting a week. In physical examination, he had cervical lymphadenitis, conjunctivitis, tonsillitis, maculopapular rash and dry fissured lips. Few days later edema of both hands and feet was observed. Laboratoty studies revealed Hb 10 gr/dl, Htc % 28.7, leukocyte count was 16.790 mm3, platelet 1.172.000 mm3, erythrocyte sedimentation rate was 50 mm/saat, CRP 28 mg/dl. Physical examination and laboratory investigations led to the diagnosis of Kawasaki disease. IVIG 2 gr/kg and aspirin 80 mg/kg/day was given as treatment modality. Two dimentional echocardiogram
was observed normal. Serologic investigation revealed L. Heptomandis and L. Canicola. High dose penicilin (400.000 U/kg/day) was given for 10 days.

Leptospirozis komplikasyonuna baðlý Kawasaki