OBJECTIVE: Kawasaki disease has been reported to occur at all over the world and can happen to all races with varied incidents and is the leading cause of acquired heart disease in children in developed countries. There is still no gold standard for the diagnosis of the disease, although various epidemiological and genetic studies have suggested. The purpose of this report is to have a better understanding of diagnose and management of Kawasaki disease.
CASE: Throughout 2018 there were 10 cases of Kawasaki disease hospitalized in pediatric ward of Dr. Soetomo Academic General Hospital, two cases are Incomplete Kawasaki disease. There were 9 patients aged under 5 years and 6 patients were female. Each patient has different clinical finding. Laboratory examination, chest X-ray, electrocardiography and echocardiography were performed to establish the diagnosis. Cardiovascular manifestations occur in 5 patients in these cases. Almost all patients received IVIG and aspirin therapy according AHA guideline 2017 for Kawasaki disease, and only one patient received steroid
therapy. Mortality due to Kawasaki disease is rare among children treated with IVIG, all patients were discharge in good condition.
CONCLUSION: Many clinical symptoms similar to Kawasaki disease cause delayed diagnosis. Early diagnosis is needed to avoid the complication especially cardiac sequel. Prompt and accurate recognition and management are essential.