Kawasaki disease shock syndrome with pulmonary involvement in a child: a case report - Takeaways - MDSpire
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Pulmonary Complications in a Child with Kawasaki Disease Shock Syndrome: A Case Study

  • By

  • Xuhua Xia

  • Jiwei Zhou

  • Lan Chen

  • Lei Zhang

  • September 7, 2026

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  • 1

    Kawasaki disease (KD) is an acute systemic vasculitis primarily affecting children, with Kawasaki disease shock syndrome (KDSS) being a severe complication.

  • 2

    Pulmonary complications in KD are rare, but may include pneumonia, pulmonary nodules, and respiratory distress, which can necessitate mechanical ventilation.

  • 3

    The case study describes a 9-year-old boy with KDSS who developed acute dyspnea during intravenous immunoglobulin (IVIG) treatment, requiring urgent intervention.

  • 4

    Chest CT revealed multiple exudative lesions and consolidation in the lungs, while bronchoscopy identified acute endobronchitis in the patient.

  • 5

    The patient achieved complete recovery after aggressive management, with no signs of coronary dilatation or pulmonary fibrosis at follow-up.

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