Características clínicas y epidemiológicas de pacientes hospitalizados con enfermedad de Kawasaki en el Hospital de Niños Dr. Roberto Gilbert Elizalde entre enero 2010-diciembre 2019.

Abstract

Kawasaki disease predominantly affects the coronary arteries. Early treatment with intravenous immunoglobulins and aspirin has been shown to reduce this risk by up to 5%, but the medium- and long-term prognosis in children with Kawasaki disease remains unclear. That is why the present study aims to describe the clinical and epidemiological characteristics of hospitalized patients with Kawasaki disease. Methodology: The present study had a quantitative approach, for data collection 125 medical records of patients diagnosed with KD Hospital de Niños Dr. Roberto Gilbert Elizalde were used during the period of January 2010-December 2019 recorded in the SERVINTE system. Results: Prevalence: male sex 62.4%, age: 1 to 2 years 68%. KD type: complete in 77%, atypical in 12%, incomplete in 11%. Time elapsed between the onset of symptoms and diagnosis: 8 days in 40.8%. Clinical manifestations: fever (100%), changes in limbs (72.0%), rash (91.2%), conjunctival injection 72.8%, changes in lips and oral mucosa 72.0%, cervical adenopathy (53, 6%). Atypical manifestations: gallbladder hydrops (4.0%). Echocardiographic finding: altered 27.2%, dilatation/ectasia in 20.0%. Conclusions: Although Kawasaki disease is rare, the data obtained in this study reflect similarities with characteristics of the disease described in the literature, where the male population aged between 1 to 2 years turned out to be the most vulnerable at the Children's Hospital. Dr. Roberto Gilbert Elizalde.