Kawasaki Syndrome with Acute Renal Failure Presentation

Introduction: Kawasaki disease is a common vasculitis with the potential to debilitate all the organs. Yet, it commonly affects the heart, the skin,and the lymph nodes. Kidney complications resulted from this condition is not usually associated with any symptoms and can only be detected in the lab. Nevertheless, in some cases, severe kidney complications are apparent. This study reports a Kawasaki patient with acute renal failure.

History: The patient was a seven-year-old girl hospitalized for acute renal failure. She was put on antibiotics with the diognosis of pyelonephritis ESR was over 100 mm. As no improvement was observed after antibiotics, the patient was diagnosed with Kawasaki and then was treated with IVIG.  Through the process, serum creatinine increased over 3mg/dl (3/2^mg/^dl) and GFR was under 20 ^cc / 1.73 m²). Having rejected other causes of acute renal failure, the condition was confirmed as Kawasaki. Improvement was observed within a few weeks using special treatments and finally kidney biopsy.

Conclusion: Kawasaki condition is rarely associated with acute renal failure. In most cases, there is no need for special treatments and improvement is observed without any medication. However, early diagnosis of Kawasaki helps prevent acute renal failure in severe cases.