ArticleFrontiers in pediatrics2025
Case Report: Challenges in diagnosing Kawasaki disease in children under 3 months of age: a case series report.
Article in Frontiers in pediatrics, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.
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Who cites it
4 citing papers in PubMed.
- Delayed diagnosis of incomplete Kawasaki disease in a 3-month-old infant leading to giant coronary aneurysms.Oxford medical case reports · 2026Article
- Infantile Kawasaki Disease Mimicking Polyarteritis Nodosa With Severe Ischemic Complications: A Case Report.Cureus · 2026Article
- Decoding clinical heterogeneity and age-related coronary risk in incomplete Kawasaki disease: a multicenter cluster analysis and structural equation modeling study.Frontiers in immunology · 2026Article
- Editorial: Pediatric and perinatal cardiology: insights, advances and updates.Frontiers in pediatrics · 2026Article
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6 authors.
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Abstract
Infants younger than 3 months old often present with incomplete Kawasaki Disease (KD), where not all the classical features are present. This makes the diagnosis challenging, as KD may be easily confused with other common pediatric conditions, such as viral infections, bacterial sepsis, or toxic shock syndrome. Moreover, the risk of developing coronary artery abnormalities is reportedly higher in younger infants, making timely diagnosis and treatment critical. Here we reported three cases of KD in infants under three months, each illustrating the challenges in diagnosis due to the absence of typical KD symptoms such as rash, conjunctivitis, and oral mucosal changes. Echocardiography played a pivotal role in identifying coronary artery abnormalities, leading to the diagnosis of incomplete KD in all cases. Clinicians should maintain a high index of suspicion for KD in any febrile infant, particularly when inflammatory markers are elevated. Early recognition and treatment are vital to prevent severe cardiovascular complications.
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