Pediatric rheumatology

Associations of infection burden with Kawasaki disease in a population-based setting during 30 years

RMD OpenPublished Case-control study

Authors' conclusion

The findings suggest that infections are closely linked with Kawasaki disease, and with a wider temporal association than previously known.

Study context

Population
All cases of Kawasaki disease diagnosed in Sweden 1987–2018 and matched general-population controls; infection data from the Swedish National Patient Registercases 61% male
Participants
1,774 vs 17,731
Comparison
Kawasaki disease cases vs matched population controls: history of infections
  • Casesn = 1,774
  • Controlsn = 17,731reference
Outcome
History of infections (association with Kawasaki disease)
Methodological detailsnationwide, population-based, matched on sex, age and area of residency
  • Nationwide
  • Population-based
  • Matched on sex, age and area of residency

Main finding

As reported in the abstract

History of infections and KD

History of infections associated with KD, OR

2.3

95% CI 2.0 to 2.5

Observational data: associations, not effects.

Further findings

Infections by organ system

Respiratory, skin, urogenital and gastrointestinal tract infections were all associated with KD

Infections 15-28 days before KD diagnosis · 15-28 days prior KD

Infections associated with KD, OR
5.1 (95% CI 3.6 to 7.1)

Infections 181-365 days before KD diagnosis · 181-365 days prior KD

Infections associated with KD, OR
1.3 (95% CI 1.1 to 1.6)

Repeated infections (dose-response)

Dose-response relationship: repeated infections associated with higher ORs of KD

Original publication

Associations of infection burden with Kawasaki disease in a population-based setting during 30 years. RMD Open. Published 20 January 2025. doi:10.1136/rmdopen-2024-005160

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