RESUMO
BACKGROUND: The outcome of Kawasaki disease (KD) depends on cardiovascular complications (CVCs). OBJECTIVES: This study aimed to explore diagnostic features and CVCs in Tunisian patients with KD. METHODS: In total, 33 Tunisian patients (age, 2.9 ± 2.2 years) fulfilling the diagnosis criteria of KD, were retrospectively reviewed. Nonparametric tests were used to compare the two groups with regards to coronary complications (CCs). RESULTS: Diagnosis of KD was established at day 11 ± 5.1 from the beginning of the fever. Apyrexia was obtained in an average of 29 h after completion of intravenous immunoglobulin. CVCs were identified in 52% of cases: CC in 15 patients (giant aneurysm >8 mm in five patients) and non-CCs in 6 patients (severe in three patients). CCs were more frequently associated with the male sex (p = 0.037), fever lasting >8 days (p = 0.028) and longer time to apyrexia (p = 0.031). CONCLUSION: In Tunisia, better knowledge and monitoring of KD are warranted.
