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¹ Dr. Sami Ulus Kadın Doğum, Çocuk Sağlığı ve Hastalıkları Eğitim ve Araştırma Hastanesi Pediatri Asistanı, Ankara
² Dr. Sami Ulus Kadın Doğum, Çocuk Sağlığı ve Hastalıkları Eğitim ve Araştırma Hastanesi Pediatri Doçenti, Ankara
³ Dr. Sami Ulus Kadın Doğum, Çocuk Sağlığı ve Hastalıkları Eğitim ve Araştırma Hastanesi Pediatri UzAnkaramanı,
⁴ Dr. Sami Ulus Kadın Doğum, Çocuk Sağlığı ve Hastalıkları Eğitim ve Araştırma Hastanesi Çocuk Kardiyoloji Uzmanı, Ankara
⁵ Dr. Sami Ulus Kadın Doğum, Çocuk Sağlığı ve Hastalıkları Eğitim ve Araştırma Hastanesi Çocuk Enfeksiyon Hastalıkları Uzmanı, Ankara Kawasaki disease (KD) is a generalized systemic vasculitis predominantly involving medium-sized arteries. The Kawasaki disease shock syndrome (KDSS) was reported firstly as myocardial dysfunction, earlier onset, coronary artery involvement, and poor response to standard intravenous immunoglubulin (IVIG) therapy. A three-month-old girl was admitted with high fever, irritability, poor feeding and hemodynamic instability. For the presence of pyuria, fever and clinical sepsis suspicion, intravenous empirical antibiotic treatment was commenced with a preliminary diagnosis of urosepsis. Thereafter, an echocardiographic investigation was performed because of persistent fever and increasing platelet counts. Kawasaki disease was diagnosed by determining coronary artery dilation on echocardiography. Here, a young infant with KDSS was reported to emphasise this uncommon presentation of Kawasaki disease, because of possible fatal outcome without timely IVIG treatment. Anahtar Kelimeler : Kawasaki disease, shock