{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,8,28]],"date-time":"2025-08-28T11:42:31Z","timestamp":1756381351039,"version":"3.44.0"},"reference-count":11,"publisher":"BMJ","issue":"2","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Rep"],"accepted":{"date-parts":[[2019,1,11]]},"published-print":{"date-parts":[[2019,2]]},"abstract":"<jats:p>A 8-year-old Irish ethnicity girl presented with 3 days of fever with right-sided neck swelling which was first thought as acute tonsillitis with right-sided lymphadenitis. She was started on intravenous antibiotics. At day 7 of illness, she was diagnosed to have Kawasaki disease with clinical and biochemical evidence. Echocardiogram at day 9 of illness and subsequently CT cardiac angiogram performed revealed giant aneurysm at the right coronary artery with non-obstructing thrombus seen. The patient then commenced on clopidogrel and continued with a regular dose of aspirin. Due to the evidence of thrombus with a giant coronary aneurysm, she was also put on long-term warfarin therapy with regular monitoring of her international normalised ratio to be kept at the range of 2.0\u20133.0.<\/jats:p>","DOI":"10.1136\/bcr-2018-226897","type":"journal-article","created":{"date-parts":[[2019,2,1]],"date-time":"2019-02-01T14:07:48Z","timestamp":1549030068000},"page":"bcr-2018-226897","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":1,"title":["Lymph-node-first Kawasaki disease and giant coronary artery aneurysm"],"prefix":"10.1136","volume":"12","author":[{"given":"Bazlin","family":"Ramly","sequence":"first","affiliation":[{"name":"Paediatric Department, University Hospital Waterford, Waterford, Ireland"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2019,2,1]]},"reference":[{"key":"2025082804105217000_12.2.bcr-2018-226897.1","doi-asserted-by":"publisher","DOI":"10.1161\/CIR.0000000000000484"},{"key":"2025082804105217000_12.2.bcr-2018-226897.2","unstructured":"Nelson Textbook of Paediatrics. 20ed. Elsevier Saunders."},{"key":"2025082804105217000_12.2.bcr-2018-226897.3","doi-asserted-by":"crossref","first-page":"1259","DOI":"10.1016\/j.jpeds.2012.11.064","article-title":"Lymph-node-first presentation of Kawasaki disease compared with bacterial cervical adenitis and typical Kawasaki disease","volume":"162","author":"Kanegaye","year":"2013","journal-title":"J Pediatr"},{"key":"2025082804105217000_12.2.bcr-2018-226897.4","doi-asserted-by":"publisher","DOI":"10.3349\/ymj.2006.47.6.759"},{"key":"2025082804105217000_12.2.bcr-2018-226897.5","doi-asserted-by":"publisher","DOI":"10.1136\/adc.86.4.286"},{"key":"2025082804105217000_12.2.bcr-2018-226897.6","doi-asserted-by":"crossref","first-page":"130","DOI":"10.1007\/s00431-005-0016-9","article-title":"A fatal case of ruptured giant coronary artery aneurysm","volume":"165","author":"Imai","year":"2006","journal-title":"Eur J Pediatr"},{"key":"2025082804105217000_12.2.bcr-2018-226897.7","unstructured":"Inoue O , Akagi T , Kato H . Fate of giant coronary artery aneurysms in Kawasaki disease: long-term follow-up study. Circulation 1989;80."},{"key":"2025082804105217000_12.2.bcr-2018-226897.8","doi-asserted-by":"publisher","DOI":"10.1016\/j.hlc.2008.01.003"},{"key":"2025082804105217000_12.2.bcr-2018-226897.9","doi-asserted-by":"publisher","DOI":"10.1161\/01.CIR.75.2.387"},{"key":"2025082804105217000_12.2.bcr-2018-226897.10","doi-asserted-by":"publisher","DOI":"10.1253\/circj.CJ-08-0931"},{"key":"2025082804105217000_12.2.bcr-2018-226897.11","doi-asserted-by":"crossref","first-page":"54","DOI":"10.4070\/kcj.2014.44.1.54","article-title":"Two cases of super-giant coronary aneurysms after kawasaki disease","volume":"44","author":"Lee","year":"2014","journal-title":"Korean Circ J"}],"container-title":["BMJ Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bcr-2018-226897","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,8,28]],"date-time":"2025-08-28T11:10:57Z","timestamp":1756379457000},"score":1,"resource":{"primary":{"URL":"https:\/\/casereports.bmj.com\/lookup\/doi\/10.1136\/bcr-2018-226897"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2019,2]]},"references-count":11,"journal-issue":{"issue":"2","published-online":{"date-parts":[[2019,2,1]]},"published-print":{"date-parts":[[2019,2]]}},"alternative-id":["10.1136\/bcr-2018-226897"],"URL":"https:\/\/doi.org\/10.1136\/bcr-2018-226897","relation":{},"ISSN":["1757-790X"],"issn-type":[{"type":"electronic","value":"1757-790X"}],"subject":[],"published":{"date-parts":[[2019,2]]}}}