Obstetric Medicine > Volume 1, Number 1 > Pp. 24-28

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Case report

Kawasaki syndrome during pregnancy: a case report and literature review

Eleftheria Lefkou MD   ^*, Ula Mahadeva BSc MBBS FRCPath DipCytol   , Andy Jones MD FRCP   , Jane Hancock MRCPath    and Beverley J Hunt MD FRCP FRCPath   ^* 

^* Department of Haematology; Department of Histopathology; Department of Intensive Care; Department of Cardiology, Guy's and St Thomas' NHS Trust, London SE1 7EH, UK

Correspondence to: Dr Beverley J Hunt Email: Beverley.hunt{at}gstt.nhs.uk

Kawasaki disease (KD) is characterized by persistent fever, mucous membrane hyperaemia, cervical lymph node enlargement, exanthema and periungual desquamation. It is seen mainly in children, with <60 cases reported in adults. We present the case, the first to the best of our knowledge, of a 17-year-woman who developed KD during the second trimester of pregnancy and died 47 days postpartum from cardiac arrest due to acute myocardial infarction. The case, the medical history, the clinical outcome and the postmortem findings are discussed, and we review the literature on adult KD.

Key Words: Kawasaki syndrome • haematology • immunology

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