Kawasaki Disease Shock Syndrome (KDSS, KSS)

Description

Some patients with Kawasaki disease will develop the Kawasaki Shock Index (KSS). Early diagnosis and proper management in the intensive care unit (ICU) can often avoid major sequelae. Diagnosis can be challenging when the episode of KDSS is the initial presentation for Kawasaki Disease.

Key features are a shock-like state:

(1) hypotension for age

(2) signs of poor peripheral perfusion (tachycardia, prolonged capillary refill, cool extremities, decreased pulses, oliguria, mental status changes)

Additional findings may include:

(1) elevated serum C-reactive protein (CRP)

(2) hyponatremia

(3) hypoalbuminemia

(4) coagulopathy

(5) anemia

(6) elevated serum troponin concentration

(7) coronary artery involvement on echocardiography

(8) mitral or tricuspid regurgitation (valvulitis) on echocardiography

Differential diagnosis:

(1) sepsis

(2) toxic shock syndrome

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Kawasaki Disease Shock Syndrome (KDSS, KSS)

Description

Specialty