Maladie de Kawasaki: Premier cas togolais chez un enfant de 3 ans

Kawasaki disease, first cause of heart disease acquired in child in industrialized countries has been poorly described in Africa. We report a complete form of Kawasaki disease with dilatation of the coronary arteries in a patient. A 3 year old girl was seen in dermatology for persistent fever, itching and flaking broadcasts lasting for three weeks. At initial examination, she had a fever of 39.5°C, bilateral non-purulent conjunctivis, cheilitis, erythema and edema of the backs of the hands and feet moving toward membranous desquamation, non-purulent cervical lymphadenopathy and dilation of the coronary arteries. Acetylsalicylic acid and intravenous immunoglobulin allowed complete remission of clinical symptoms and regression of cardiac complications. This suggests that it is necessary to evoke Kawasaki disease in the presence of a fever in the long term that does not respond to the usual treatments accompanied by a rash and look for other manifestations of the disease.