Pediatric Nursing Q 186
A 5-year-old girl Hannah is recently diagnosed with Kawasaki disease. Apart from the identified symptoms of the disease, she may also likely develop which of the following?
A. Sepsis
B. Meningitis
C. Mitral valve disease
D. Aneurysm formation
Correct Answer: D. Aneurysm formation
Kawasaki disease is a rare childhood illness that affects the blood vessels. 20% to 25% of children can develop aneurysm formation if not intervened. Treatment depends on the degree of the disease but is often immediate treatment with IV gamma globulin or aspirin. Corticosteroids can sometimes lessen impending complications. Children who experience the disease usually need lifelong follow-up appointments to keep an eye on heart health.
Option A: Over weeks and months, wall thickening of the coronary aneurysms can lead to stenosis and thrombus formation which can result in myocardial infarction (MI), rupture, ischemia-related dysrhythmias, or death.
Option B: The greatest risk of these cardiac complications is during the period of thrombocytosis. Small coronary aneurysms may resolve in 60% of cases in the later convalescent-phase when inflammatory markers return to normal.
Option C: Kawasaki disease (KD), also known by the name mucocutaneous lymph node syndrome, is an acute, self-limited medium vessel vasculitis that has a predilection for the coronary arteries. It is the leading cause of acquired heart disease in developed nations and is slowly bypassing rheumatic heart disease in developing countries.