Familiar with Kawasaki Disease

A deadly disease found Tomisaki Dr. Kawasaki in Japan, 1967 ago. His name was taken from the name of the inventor. In Indonesia, 1996 cases of Kawasaki found even earlier.

Kawaski usually strikes children under five. More men than not contagious, so Kawasaki need special attention. Why if diagnosed too late to attack the blood vessels of the heart. Eventually lead to coronary heart disease at a young age. As experienced Jett.

The cause of the infection is strongly suspected that berfek in immune system disorders. The medical world has not been able to confirm it.

Symptom
The early symptoms of high fever reaching 41 degrees Celsius. Fluctuating body temperature for more than 3 days. If the fever is left untreated, can persist for up to 4 weeks. Antibiotics were not able to eliminate the fever.

Red spots usually appear 2 to 3 days after the fever. Eyes, tongue, and aunt blush. Usually also swelling of the lymph nodes until sometime mumps-like illness.

Besides pain in the joints are also often complained of the patient. Exfoliation in the fingertips and toes, as well as transverse depressions on nails of the feet and hands also should be aware.

To cardiac complications usually occur days to 7 or 8 since the fever began. Starting with vessel dilation and constriction occur inside, or saumbatan. Of blood flow to the heart muscle so disturbed. It can cause heart muscle damage.

Kawasaki Patients should receive care and supervision of child’s cardiologist. Because it was feared complications of heart.

Treatment
Because the cause of Kawasaki disease has not been found, prevention is not yet certain.

However, to relieve the symptoms of Kawasaki, immunoglobulin could be an option. Drug from blood donor plasma is able to reduce the risk of heart damage. Patients with Kawasaki requires 2 grams per kilogram of body weight. The price of 1 gram of immunoglobulin around Rp 1 million. If intensive treatment is not successful, coronary bypass operation even cardiac transplantation is an alternative to other solutions.

Death can occur in the late penerita receive treatment. The peak occurs at 15 to 45 days after the fever begins. But beware. Sudden death can occur many years after the acute phase. Kawasaki can damage the heart valves that cause sudden death several years later.

As experienced Jett Travolta. He was hospitalized at the age of 15 months. Sentenced to suffer Kawasaki, Jett forced to live with a heart defect, due to impaired coronary blood flow. He then died of heart damage.

Unfortunately, laboratory tests for the disease is not typical. Alternatively, examination of the heart becomes very important. Including ECG and echocardiography (cardiac ultrasound). For severe cases of Kawasaki, ultrafast CT scan, MRA (Magnetic Resonance Angiography) and cardiac catheterization is required.