Kawasaki Disease

LorraineCNA · Jun 5, 2003

Kawasaki when he was 3 or 4. They also mentioned the fact that my sister in law had just had her carpets cleaned and something about mites.

My nephew went through puberty early because of the treatment (immunoglobulin?), he stopped growing height-wise early (around 16) and he did have I believe it was a weakening of one of his veins or arteries of his heart that they watched until he hit a certain age....which doesn't make any sense to me, but this is my sister-in-laws version.... :rolleyes:

In any event, he definitely had some long-term if not permanent effects, whether they were from the treatment or the disease, I'm not entirely sure.

kiddonurse · Jun 5, 2003

I've taken care of a few kids with Kawasaki disease. As I recall, there is no consensus about cause ... possibly viral, possibly autoimmune, etc. To have the dx, you have to have a certain number (which I can't remember right now) of a selection of symptoms, including the blotchy rash already mentioned, cherry red conjunctiva, red lips, etc. there were certain necessary sxs, and other possible sxs. One characteristic was fever that comes & goes.

One child I took care of had hot, swollen joints that seemed worse when the fever returned. One child had a sudden and pronounced murmur and weight gain. That child had a doc (not a pedi) who loudly and strongly denied (to the family & in the nurses' station) the existence of the dx ... AFTER he had given permission to consult the cardiac specialist. WHICH left me & the other nurses wondering if we'd be able to administer the IG we had to send out search teams (literally) to obtain! (Luckily, he backed down and softened his stance, day by day, till he began to say he "wasn't completely convinced it was Kawasaki," but at least he allowed us to continue with the specialist's orders.

Yes, IV immune globulin is standard, as is aspirin therapy. All the pts had cardiac consultation and had to f/u with cardiologist afterward, I think @ 6 wks, and ongoing. The platelet levels tend to go sky-high, but I think that's a late sign. That's a reason for the aspirin therapy, because MI is a possible complication. Another cardiac complication is risk for aneurisms.

LorraineCNA · Jun 5, 2003

spinal meningitis within a year of the Kawasaki....I'm not sure if it was before or after, it was so long ago...any chance the two were related? (as in his immunity being down from one or the other)

mai19 · Jul 15, 2005

when the child was in the ward, what are the nursing interventions that was rendered except in administering IGGM?

I've taken care of a few kids with Kawasaki disease. As I recall, there is no consensus about cause ... possibly viral, possibly autoimmune, etc. To have the dx, you have to have a certain number (which I can't remember right now) of a selection of symptoms, including the blotchy rash already mentioned, cherry red conjunctiva, red lips, etc. there were certain necessary sxs, and other possible sxs. One characteristic was fever that comes & goes.
One child I took care of had hot, swollen joints that seemed worse when the fever returned. One child had a sudden and pronounced murmur and weight gain. That child had a doc (not a pedi) who loudly and strongly denied (to the family & in the nurses' station) the existence of the dx ... AFTER he had given permission to consult the cardiac specialist. WHICH left me & the other nurses wondering if we'd be able to administer the IG we had to send out search teams (literally) to obtain! (Luckily, he backed down and softened his stance, day by day, till he began to say he "wasn't completely convinced it was Kawasaki," but at least he allowed us to continue with the specialist's orders.
Yes, IV immune globulin is standard, as is aspirin therapy. All the pts had cardiac consultation and had to f/u with cardiologist afterward, I think @ 6 wks, and ongoing. The platelet levels tend to go sky-high, but I think that's a late sign. That's a reason for the aspirin therapy, because MI is a possible complication. Another cardiac complication is risk for aneurisms.

mai19 · Jul 15, 2005

carpets cleaned and something about mites? kindly explain it further?

thanks

[

They also mentioned the fact that my sister in law had just had her carpets cleaned and something about mites.

LisaG21 · Jul 15, 2005

hey guys

My brother had this in the eightys...they thought he had limes disease but it turned out to be kawasaki. His kidneys eventually shut completely down and he coded. They gave him Immunoglobulin and asprin. He has had no other problems since then, however he is labeled bipolar but some doctors seem to think it stemed from the lack of O2 to the brain when he was down.