2 Iconography
Access to the text (HTML) Access to the text (HTML)
PDF Access to the PDF text

Access to the full text of this article requires a subscription.
  • If you are a subscriber, please sign in 'My Account' at the top right of the screen.

  • If you want to subscribe to this journal, see our rates

  • You can purchase this item in Pay Per ViewPay per View - FAQ : 30,00 € Taxes included to order
    Pages Iconography Videos Other
    3 2 0 0

Archives de pédiatrie
Volume 11, n° 3
pages 226-228 (mars 2004)
Doi : 10.1016/j.arcped.2003.12.017
Received : 5 Mars 2003 ;  accepted : 6 December 2003
Colite ischémique et syndrome d’hémophagocytose compliquant une maladie de Kawasaki
Ischemic colitis and hemophagocytosis complicating Kawasaki disease

F Thabet a, , I Bellara b, B Tabarki a, H Kchaou a, M Yacoub a, A.S Essoussi a
a Service de pédiatrie, hôpital Farhat-Hached, avenue Ibn-El-Jazzar, 4000 Sousse, Tunisie 
b Service de radiologie, hôpital Farhat-Hached, avenue Ibn-El-Jazzar, 4000 Sousse, Tunisie 

*Auteur correspondant.
H Selmi


Les manifestations digestives de la maladie de Kawasaki sont généralement limitées à une stomatite, des diarrhées, un iléus paralytique ou un hydrocholécyste. La colite ischémique et le syndrome d’hémophagocytose sont des complications rarement rapportées.

Observation. – Une fille âgée de cinq ans a été hospitalisée pour une maladie de Kawasaki compliquée d’un syndrome d’hémophagocytose d’évolution favorable après traitement par immunoglobulines polyvalentes. Au quatrième jour d’hospitalisation, elle a présenté des douleurs abdominales et une diarrhée glairosanglante aseptique. La tomodensitométrie abdominale a montré un aspect de colite ischémique touchant tout le côlon et l’intestin grêle. Les manifestations digestives se sont améliorées après repos digestif et alimentation parentérale totale.

Conclusion. – La colite ischémique et le syndrome d’hémophagocytose sont des complications rares mais parfois graves de la maladie de Kawasaki.

The full text of this article is available in PDF format.

Gastrointestinal manifestations of Kawasaki disease are usually limited to stomatitis, paralytic ileus, and hydrops of the gallbladder. We report a case of Kawasaki disease complicated with hemophagocytosis and ischemic colitis.

Case report. – A 5-year-old girl with Kawasaki disease presented with hemophagocytosis that responded to gamma-globulin therapy. On day 4 she had abdominal pain and diarrhea. CT scan showed features suggesting ischemic colitis. Symptoms resolved on total parenteral nutrition.

Conclusion. – Ischemic colitis and hemophagocytosis are potential severe complications of Kawasaki disease.

The full text of this article is available in PDF format.

Mots-clé : Kawasaki (maladie de), Colite, Hémophagocytose

Keywords : Kawasaki disease, Colitis, ischemic, Hemophagocytic syndrome, infection-associated, Child

© 2003  Éditions scientifiques et médicales Elsevier SAS. All Rights Reserved.
EM-CONSULTE.COM is registrered at the CNIL, déclaration n° 1286925.
As per the Law relating to information storage and personal integrity, you have the right to oppose (art 26 of that law), access (art 34 of that law) and rectify (art 36 of that law) your personal data. You may thus request that your data, should it be inaccurate, incomplete, unclear, outdated, not be used or stored, be corrected, clarified, updated or deleted.
Personal information regarding our website's visitors, including their identity, is confidential.
The owners of this website hereby guarantee to respect the legal confidentiality conditions, applicable in France, and not to disclose this data to third parties.
Article Outline
You can move this window by clicking on the headline