Evidence map›Paper›PMID 25890055›Full record

ReviewJournal of medical case reports2015

Adult Kawasaki disease in a European patient: a case report and review of the literature.

Theano Kontopoulou, Dimitrios Georgios Kontopoulos, Emmanouel Vaidakis, George P Mousoulis

Open access · goldAbstract readCase ReportsReview
In one paragraph

Review in Journal of medical case reports, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers.

0numbers the graph read from it
0cells of the map it votes in
23citing papers in PubMed
5.3field-weighted citation impact, top 4% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

23 citing papers in PubMed, 44 citations in OpenAlex.

  1. Article
  2. Kawasaki disease with cardiac involvement revealed by acute pancreatitis in an adult: a rare case report.The Egyptian heart journal : (EHJ) : official bulletin of the Egyptian Society of Cardiology · 2025
    Article
  3. Article
  4. Article
  5. Article
  6. Article
  7. Superantigens and SARS-CoV-2.Pathogens (Basel, Switzerland) · 2022
    Article
  8. Article
  9. Article
  10. Article
  11. Article
  12. Article
  13. Article
  14. Article
  15. Article
  16. Article
  17. Article
  18. Controversies in diagnosis and management of Kawasaki disease.World journal of clinical pediatrics · 2018
    Review
  19. Article
  20. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors at 3 institutions in 2 countries.

Theano Kontopoulou3rd Department of Internal Medicine, Evangelismos Hospital, Ipsilantou 45-47, 10676, Athens, Greece. tkontopoulou@yahoo.gr.
Dimitrios Georgios KontopoulosDepartment of Life Sciences, Imperial College London, Silwood Park Campus, Buckhurst Road, Ascot, SL5 7PY, UK. d.kontopoulos13@imperial.ac.uk.
Emmanouel VaidakisDepartment of Internal Medicine, Metropolitan Hospital, Ethnarchou Makariou 9 & El. Venizelou 1, 18547, N. Faliro, Athens, Greece. vaidakismanolis@gmail.com.
George P Mousoulis3rd Department of Internal Medicine, Evangelismos Hospital, Ipsilantou 45-47, 10676, Athens, Greece. geomousoulis@yahoo.gr.
Evangelismos Hospital · GRImperial College London · GBMetropolitan Hospital · GR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionKawasaki disease is an acute necrotising vasculitis of the medium- and small-sized vessels, occurring mainly in Japanese and Korean babies and children, aged 6 months to 5 years. Its main complication is damage of coronary arteries, which has the potential to be fatal. Here we report a rare case of Kawasaki disease that occurred in a 20-year-old Greek adult. CASE PRESENTATION: A 20-year-old Greek man presented with high fever, appetite loss, nausea and vomiting, headache and significant malaise. He had an erythema of the palms and strikingly red lips and conjunctiva. As he did not respond to broad-spectrum antibiotics and after having excluded other possible diagnoses, the diagnosis of Kawasaki disease was set. He was treated with intravenous immunoglobulin and oral aspirin on the 10th day since the onset of the illness. His clinico-laboratory response was excellent and no coronary artery aneurysms were detected in coronary artery computed tomography performed 1 month later.

conclusionsThis report of an adult case of European Kawasaki disease may be of benefit to physicians of various specialties, including primary care doctors, hospital internists, intensivists and cardiologists. It demonstrates that a case of prolonged fever, unresponsive to antibiotics, in the absence of other diagnoses may be an incident of Kawasaki disease. It is worth stressing that such a diagnosis should be considered, even if the patient is adult and not of Asian lineage.

Indexed as

AdultAnti-Inflammatory Agents, Non-SteroidalAspirinCoronary AneurysmErythemaFeverHumansImmunoglobulins, IntravenousImmunologic FactorsMaleMucocutaneous Lymph Node SyndromeWhite PeopleYoung AdultAnti-Inflammatory Agents, Non-SteroidalAspirinImmunoglobulins, IntravenousImmunologic Factors

Identifiers

PMID25890055
PMCPMC4403952
OpenAlexW2091011207

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.