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Incomplete Kawasaki disease: early findings consist of congestive heart failure due to valvular heart disease
  1. Takashi Honda,
  2. Shohei Ogata,
  3. Masahiro Ishii
  1. Department of Pediatrics, Kitasato University School of Medicine, Kitasato, Minami-ku, Sagamihara, Kanagawa, Japan
  1. Correspondence to Professor Masahiro Ishii; ishiim{at}med.kitasato-u.ac.jp

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A 4-month-old girl with a 5-day history of fever was diagnosed as having urinary-tract infection. Her symptoms did not improve after 3 days of antibiotic therapy. Then, she was transferred to our hospital.

She showed heart-failure features such as a gallop rhythm, tachypnoea and liver enlargement. X-rays revealed heart hypertrophy. Echocardiography confirmed severe mitral-valve regurgitation (MR) and tricuspid-valve regurgitation (TR) (figure 1). Laboratory findings showed haematocrit (Hct) 28.2%, platlet (Plt) 64.3×103/μl, albumin (Alb) 2.9 g/dl, aspartate aminotransferase 202 IU/l, …

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