Case Report


DOI :10.26650/jchild.2024.1433527   IUP :10.26650/jchild.2024.1433527    Full Text (PDF)

First Case of Terminal Ileitis Coexisting with Incomplete Kawasaki Disease

Şule GökçeEser DoğanMerve TosyalıRıza YıldırımFırat ErginMehmet Baki BeyterBilge Kağan AnutganFeyza Koç

Kawasaki disease (KD), also referred to as mucocutaneous lymph node syndrome and infantile polyarteritis nodosa, is characterized by inflammation of small and medium-sized blood vessels across the body. It can manifest in various clinical features among pediatric patients admitted to general pediatric departments with fever, particularly those aged less than 5 years. Despite its relatively benign nature, it is crucial to promptly identify potential complications. We describe the case of a 10-month-old female patient admitted to the general pediatric department due to a 5-day history of fever peaking at 40.5⁰C, diarrhea, and irritability. Physical examination revealed no conjunctivitis, cervical lymphadenopathy, or rash, but notable irritability and edematous induration on the dorsum of her hands and feet. Initial laboratory investigations showed elevated acute phase reactants, and radiological assessment indicated terminal ileitis. Considering the presentation consistent with incomplete KD, characterized by persistent fever, ill appearance, ileitis, hypoalbuminemia, and elevated acute phase reactants, we pursued further evaluation. Echocardiography revealed ecstatic and prominent coronary artery without dilation of the main coronary arteries. It is important to recognize that not all KD patients will exhibit all typical features, and presentations may vary. While inflammatory changes in multiple systems have been documented in KD, terminal ileitis has not been previously reported in pediatric patients.


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Citations

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APA

Gökçe, Ş., Doğan, E., Tosyalı, M., Yıldırım, R., Ergin, F., Beyter, M.B., Anutgan, B.K., & Koç, F. (2024). First Case of Terminal Ileitis Coexisting with Incomplete Kawasaki Disease. Journal of Child, 24(1), 49-52. https://doi.org/10.26650/jchild.2024.1433527


AMA

Gökçe Ş, Doğan E, Tosyalı M, Yıldırım R, Ergin F, Beyter M B, Anutgan B K, Koç F. First Case of Terminal Ileitis Coexisting with Incomplete Kawasaki Disease. Journal of Child. 2024;24(1):49-52. https://doi.org/10.26650/jchild.2024.1433527


ABNT

Gökçe, Ş.; Doğan, E.; Tosyalı, M.; Yıldırım, R.; Ergin, F.; Beyter, M.B.; Anutgan, B.K.; Koç, F. First Case of Terminal Ileitis Coexisting with Incomplete Kawasaki Disease. Journal of Child, [Publisher Location], v. 24, n. 1, p. 49-52, 2024.


Chicago: Author-Date Style

Gökçe, Şule, and Eser Doğan and Merve Tosyalı and Rıza Yıldırım and Fırat Ergin and Mehmet Baki Beyter and Bilge Kağan Anutgan and Feyza Koç. 2024. “First Case of Terminal Ileitis Coexisting with Incomplete Kawasaki Disease.” Journal of Child 24, no. 1: 49-52. https://doi.org/10.26650/jchild.2024.1433527


Chicago: Humanities Style

Gökçe, Şule, and Eser Doğan and Merve Tosyalı and Rıza Yıldırım and Fırat Ergin and Mehmet Baki Beyter and Bilge Kağan Anutgan and Feyza Koç. First Case of Terminal Ileitis Coexisting with Incomplete Kawasaki Disease.” Journal of Child 24, no. 1 (Dec. 2024): 49-52. https://doi.org/10.26650/jchild.2024.1433527


Harvard: Australian Style

Gökçe, Ş & Doğan, E & Tosyalı, M & Yıldırım, R & Ergin, F & Beyter, MB & Anutgan, BK & Koç, F 2024, 'First Case of Terminal Ileitis Coexisting with Incomplete Kawasaki Disease', Journal of Child, vol. 24, no. 1, pp. 49-52, viewed 23 Dec. 2024, https://doi.org/10.26650/jchild.2024.1433527


Harvard: Author-Date Style

Gökçe, Ş. and Doğan, E. and Tosyalı, M. and Yıldırım, R. and Ergin, F. and Beyter, M.B. and Anutgan, B.K. and Koç, F. (2024) ‘First Case of Terminal Ileitis Coexisting with Incomplete Kawasaki Disease’, Journal of Child, 24(1), pp. 49-52. https://doi.org/10.26650/jchild.2024.1433527 (23 Dec. 2024).


MLA

Gökçe, Şule, and Eser Doğan and Merve Tosyalı and Rıza Yıldırım and Fırat Ergin and Mehmet Baki Beyter and Bilge Kağan Anutgan and Feyza Koç. First Case of Terminal Ileitis Coexisting with Incomplete Kawasaki Disease.” Journal of Child, vol. 24, no. 1, 2024, pp. 49-52. [Database Container], https://doi.org/10.26650/jchild.2024.1433527


Vancouver

Gökçe Ş, Doğan E, Tosyalı M, Yıldırım R, Ergin F, Beyter MB, Anutgan BK, Koç F. First Case of Terminal Ileitis Coexisting with Incomplete Kawasaki Disease. Journal of Child [Internet]. 23 Dec. 2024 [cited 23 Dec. 2024];24(1):49-52. Available from: https://doi.org/10.26650/jchild.2024.1433527 doi: 10.26650/jchild.2024.1433527


ISNAD

Gökçe, Şule - Doğan, Eser - Tosyalı, Merve - Yıldırım, Rıza - Ergin, Fırat - Beyter, MehmetBaki - Anutgan, BilgeKağan - Koç, Feyza. First Case of Terminal Ileitis Coexisting with Incomplete Kawasaki Disease”. Journal of Child 24/1 (Dec. 2024): 49-52. https://doi.org/10.26650/jchild.2024.1433527



TIMELINE


Submitted08.02.2024
Accepted19.02.2024
Published Online07.05.2024

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