An Unusual Case of Constrictive Pericarditis in a Young Patient With Childhood History of Successfully Treated Kawasaki Disease
Bibliographic record
Abstract
Kawasaki disease, also known as mucocutaneous lymph node syndrome, is a disease in which blood vessels in the body become inflamed. It occurs usually in childhood and one of the well-known cardiac complications is coronary artery aneurysm which occurs usually after 1 - 2 years. Constrictive pericarditis is not a known sequela of Kawasaki disease. We present a case of a 21-year-old white male referred to the emergency department by his gastroenterologist after an outpatient abdominal ultrasound obtained for elevated liver enzymes revealed ascites and bilateral pleural effusion. He has background history of Kawasaki disease at the age of 8 years that was treated with aspirin and intravenous immunoglobulin (IVIG) without any cardiac complications based on echocardiogram obtained after treatment. Autoimmune screen was negative. He had echocardiogram which revealed evidence of constrictive pericarditis. J Med Cases. 2018;9(7):211-214 doi: https://doi.org/10.14740/jmc3071w
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How this classification was reachedexpand
Full frame machine prediction
Teacher imitationNot calibrated prevalence, not ground truth. Human validation pending. The Gemma side is a direct model label for every work in the frame, read from the title-only record. The Codex side is a classifier learned from the 10,348 direct Codex labels and calibrated to design-weighted sample rates; fields without enough sample support carry no Codex call. Candidate is the union of the two sides; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels.
Distilled classifier scores by category (both heads)
| Category | Codex | Gemma |
|---|---|---|
| Metaresearch | 0.000 | 0.003 |
| Meta-epidemiology (narrow) | 0.001 | 0.001 |
| Meta-epidemiology (broad) | 0.001 | 0.001 |
| Bibliometrics | 0.002 | 0.001 |
| Science and technology studies | 0.003 | 0.002 |
| Scholarly communication | 0.002 | 0.002 |
| Open science | 0.001 | 0.001 |
| Research integrity | 0.004 | 0.003 |
| Insufficient payload (model declined to judge) | 0.003 | 0.001 |
Machine scores (provisional)
The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.
Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.
score_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from itClassification
machine, unvalidatedMachine predicted; a candidate call from one source (direct Gemma or distilled Codex), not a consensus.
How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".