The Link between Dengue Fever and Kawasaki Disease in Children
Stefan Bittmann *
Department of Pediatrics, Ped Mind Institute (PMI), Hindenburgring 4, D-48599, Gronau, Germany and Shangluo Vocational and Technical College, Shangluo, 726000, Shaanxi, China.
Elisabeth Luchter
Department of Pediatrics, Ped Mind Institute (PMI), Hindenburgring 4, D-48599, Gronau, Germany.
Lara Bittmann
Department of Pediatrics, Ped Mind Institute (PMI), Hindenburgring 4, D-48599, Gronau, Germany.
Elena Moschüring-Alieva
Department of Pediatrics, Ped Mind Institute (PMI), Hindenburgring 4, D-48599, Gronau, Germany.
*Author to whom correspondence should be addressed.
Abstract
The association between Kawasaki disease and dengue fever is uncommon and can be difficult to diagnose due to overlapping clinical symptoms. There have been few reported cases of children with confirmed dengue fever developing Kawasaki disease. A prior infection of dengue fever pronouncing a worse manifestation of Kawasaki disease is due to the very rare cases of this entity unknown. If a prior dengue fever associated with later Kawasaki disease leads to higher incidence of coronary dilatations in children are not clearly ruled out. The population of this concomitant entity is very small and therefore difficult to analyze incidentally due to high significant scientific standards. What is known is, that differentiating both diseases shows sometimes a clinical dilemma in children.
Keywords: Dengue, kawasaki disease, risk factor, children