Presentation and Outcomes of Kawasaki Disease in Latin American Infants Younger Than 6 Months of Age: A Multinational Multicenter Study of the REKAMLATINA Network
Elizabeth Moreno, S. Diana Garcia, Emelia Bainto, Andrea Salgado, Austin Parish, Benjamin D. Rosellini, Rolando Ulloa‐Gutiérrez, Luis M Garrido‐García, Lourdes Dueñas, Dora Estripeaut, Kathia Luciani, Francisco J. Rodríguez-Quiroz, Olguita del Águila, Germán Camacho‐Moreno, Virgen Gómez, Tamara Viviani, Martha I. Álvarez-Olmos, Heloísa Helena de Souza Marques, Enrique Faugier Fuentes, Patricia Saltigeral‐Simental, Eduardo López-Medina, Greta Miño-León, Sandra Beltrán, Lucila Martínez‐Medina, Catalina Pírez, Fernanda Cofré, Adriana H. Tremoulet
Abstract
Objective: To characterize the clinical presentation and outcomes of Kawasaki disease (KD) in infants 10 days (50% vs 7.4%, P = 0.043). Conclusion: Our data show that despite treatment in the first 10 days of illness, infants < 6 months of age in Latin America have a higher risk of developing a coronary artery aneurysm. Delay in the diagnosis leads to larger coronary artery aneurysms disproportionately in these infants. Thus, suspicion for KD should be high in this vulnerable population.