Rodríguez HR, Carvajal RL, Reynés MJ, García PC, Zarco RJ, Barrios FR  

Internal Medicine Department, Pediatrics National Institute,

Mexico City, Mexico


Fourteen patients with Kawasaki’s Disease (KD) were revised, their mean age was 5 years, with a male sex predominance of 1.5:1. An Echocardiogram was performed in the twelve of the fourteen patients. With 5 of them showed coronary alterations. 2 of them had bilateral aneurysms. With the first one showed a 7mm right coronary aneurysm. And a 4mm left coronary artery aneurysm, the second patient with bilateral affection had a 6mm left coronary artery aneurysm and a 3mm aneurysm of the right coronary artery, the third patient with coronary affection only had a 4mm aneurysm of the left coronary artery. The last two patients showed 6mm right coronary aneurysms. Pericarditis was demonstrated in 3 patients, with a mild pericardial effusion in one of them and the other two showing miocarditis. A coronarigraphy as well as a perfusory gammagram were performed in those cases with echocardiographic detection of coronary alterations. An Echocardiographic fallow up was done in 12 patients, these showed persisting although smaller aneurysms in three of them. They all received aspirin and eigth of them received intravenous gammaglobuline. Conclusions: Although this disease (KD) predominates in Asiatic population, these do not exclude the possibility of the occurrence of some cases in our country.