What is Kawasaki disease?

It is a syndrome whose causes are still unknown, which mainly affects the lymph nodes and inflames the blood vessels throughout the body, which can trigger the appearance of aneurysms and heart problems. It is an unusual pathology that predominantly affects Asian children under five years old and that must be treated promptly to avoid complications in other areas of the body, such as the digestive or the nervous system.

Signs and symptoms Kawasaki disease

High fever (above 39°C).
Swollen lymph nodes.
Sensitive skin prone to flaking.
Behavior changes and irritability.
Eye inflammation.
Joint and abdominal pain.
Dry lips and swollen tongue.
Body rashes.
Vomit and diarrhea

If you child has any of these symptoms, go immediately to your ABC doctor. Do not risk its life!

Main causes:

Although the origin of Kawasaki disease is still unknown, it is known that there are some factors that increase the risk of contracting it:

Age. Since it usually occurs in children under five years old.
Ethnicity. A higher prevalence of the disease has been demonstrated in minors of Asian descent.
Sex. Males are more prone to the disease.

Diagnosis and treatment Kawasaki disease

To date, there is no conclusive diagnostic test for Kawasaki disease, however, your doctor will evaluate your child’s medical history and perform a physical examination to assess his or her condition.

In some cases, your doctor may request complementary studies such as:

EKG and cardiac ultrasound to analyze your child’s heart function.
Blood tests to rule out other possible conditions.

Treatment options:

Immunoglobulin is administered intravenously as a first option, along with drugs such as acetylsalicylic acid (aspirin) to modulate inflammation, prevent aneurysms, and reduce the recurrence of fevers.

In more complex cases, more specific medications could be prescribed or even conduct some surgical intervention.

At the Cardiovascular Center we offer you a wide range of prevention, diagnosis, timely treatment, and follow-up services to take care of you through a comprehensive and multidisciplinary care model. Come to us, we want to hear your heart.

Related centers and departments

Cardiovascular Center
High Specialty Surgery Center
Radiology and Molecular Imaging
Clinical Laboratory

Fuentes:

fundación española del corazón
healthychildren.org
msdmanuals.com
texasheart.org
medigraphic.org
Kim GB. Reality of Kawasaki disease epidemiology. Korean J Pediatr. 2019; 62(8)292-296. https://doi.org/10.3345/kjp.2019.00157
Mejía AC, Sandí ON, Salazar CN. Actualización en enfermedad Kawasaki en población pediátrica. Revista Médica Sinergia. 2020;5(06):1-11.
Singh S, Jindal AK, Pilania RK. Diagnosis of Kawasaki disease. International Journal of Rheumatic Diseases. 2018;21(1):36-44. https://doi.org/10.1111/1756-185X.13224
Sosa T, Browner L, Divanovic A. Diagnosis and Management of Kawasaki. JAMA Network Clinical Guidline Synopsis. 2019;173(3):278-279. https://doi.org/10.1001/jamapediatrics.2018.3307

How can we help you?

The dissemination of the content of this material is for informational purposes only and does not replace, under any circumstance or condition, a consultation with a specialist doctor, for which the ABC Medical Center is not responsible for the different use that may be given to it. If you require more information related to the subject, we suggest you contact the specialist doctor you trust directly.

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Comparison of COVID-19 vaccines

Pfizer-
BioNTech

Pfizer-BioNTech

What is its effectiveness and what does it refer to?

Vaccine type: mRNA
Effectiveness: 95% after the second dose in the prevention of symptomatic COVID-19.

No Does not contain egg, latex, or preservatives.

How many doses are needed?
Two doses are needed, at least 21 days apart (or up to six weeks apart, if necessary).

Who should or shouldn’t get the vaccine?
People who should receive the vaccine are those over 16 years old.
People who should not receive the vaccine are those who have a history of anaphylactic shock (severe allergy) or who are allergic to any component of this vaccine such as polyethylene glycol (PEG) or polysorbate.

What are the possible side effects of the vaccine?
Pain where the injection was given, fatigue, headache, muscle pain, chills, joint pain, fever, nausea, malaise, and swollen lymph nodes.

How long will it take for me to be protected and what does it protect me from?
After 14 days of having the complete scheme (after the administration of the 2nd dose), the protection period is still under study. It protects us from serious COVID-19 or requiring hospitalization.

Moderna

What is its effectiveness and what does it refer to?

Vaccine type: mRNA
Effectiveness: 94.5% after the second dose in the prevention of symptomatic COVID-19.

Does not contain egg, latex, or preservatives.

How many doses are needed?
Two doses are needed, at least 28 days apart (or up to six weeks apart, if necessary).

Who should or shouldn’t get the vaccine?
People who should receive the vaccine are those over 18 years old.
People who should not receive the vaccine are those who have a history of anaphylactic shock (severe allergy) or who are allergic to any component of this vaccine.

What are the possible side effects of the vaccine?
Pain where the injection was given, fatigue, headache, muscle pain, chills, joint pain, fever, nausea, and swollen lymph nodes in the arm in which you received the injection.

Janssen/
Johnson
& Johnson

Janssen/ Johnson & Johnson

What is its effectiveness and what does it refer to?

Vector-based vaccine.
Effectiveness: 72.0% in the prevention of symptomatic COVID-19.
85% in the prevention of severe COVID-19.

Does not contain egg, latex, or preservatives./strong>

How many doses are needed?
Only one dose in needed.

What are the possible side effects of the vaccine?
Pain where the injection was given, headache, fatigue, muscle pain, chills, fever, and nausea.

How long will it take for me to be protected and what does it protect me from?
After 28 days of having the complete scheme (the last dose applied), the protection period is still under study. It protects us from 85% serious COVID-19 or requiring hospitalization.

AstraZeneca
and
Oxford
University

AstraZeneca and Oxford University

What is its effectiveness and what does it refer to?

Adenovirus vector-based vaccine.
Effectiveness: 82% after the second dose in the prevention of symptomatic COVID-19.

How many doses are needed?
Two doses are needed, at least 56 days apart (or up to 84 days apart, if necessary).

What are the possible side effects of the vaccine?
Pain where the injection was given, fatigue, headache, myalgia, arthralgia, and fever, which were mild to moderate in intensity and disappeared within 48 hours of vaccination.

Sputnik V

What is its effectiveness and what does it refer to?

Adenovirus vector-based vaccine.
Effectiveness: 92% after the second dose in the prevention of symptomatic COVID-19.

How many doses are needed?
Two doses are needed, at least 21 days apart (or up to six weeks apart, if necessary).

What is Kawasaki disease?

Signs and symptoms Kawasaki disease

Diagnosis and treatment Kawasaki disease

Related centers and departments

Fuentes:

Index

Specialist in Kawasaki disease