Clinical data
The index case is a 6 years old Afro-caribbean female who had non-specific symptoms of low grade fever, macular popular rash in first week of illness with no subungual peeling or Beau’s lines and general feeling of malaise and lethargy for two weeks. She complained in the 3rd week of poor vision in left eye whilst reading with reduced left visual acuity on examination, which was the only significant finding on examination in a non-immunocompromised child with normal growth parameters. Of negative significance she had no dysrhythmias, cardiac murmurs nor signs of heart failure.
Haematological tests showed an increase in platelet count, Chest X-Ray and Electrocardiogram were normal. Ophthalmological assessment confirmed impaired visual acuity in left eye. Transthoracic Echocardiography confirmed Kawasaki Disease with dilated origin of left coronary artery with diameter of 0.416 cm (Fig. 1), dilated distal left main coronary artery aneurysm with diameter of 0.486cm and dilated anomalous origin right coronary artery with diameter 0.400cm, from one o’clock position (Fig. 3).
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