Differential Diagnosis of Bacterial Cervical Lymphadenitis and Kawasaki Disease in Patients with Fever and Cervical Lymphadenopathy.
10.14776/piv.2016.23.3.188
- Author:
Homin JANG
1
;
Eun Gyo HA
;
Hee Jin KIM
;
Taek Jin LEE
Author Information
1. Department of Pediatrics, CHA Bundang Medical Center, CHA University, Seongnam, Korea. bjloveu@chamc.co.kr
- Publication Type:Original Article
- Keywords:
Fever;
Lymphadenitis;
Mucocutaneous lymph node syndrome
- MeSH:
Alanine Transaminase;
C-Reactive Protein;
Cohort Studies;
Delayed Diagnosis;
Diagnosis, Differential*;
Fever*;
Hospitalization;
Humans;
Leukocyte Count;
Lymph Nodes;
Lymphadenitis*;
Lymphatic Diseases*;
Medical Records;
Mucocutaneous Lymph Node Syndrome*;
Neutrophils;
Platelet Count;
Retrospective Studies
- From:Pediatric Infection & Vaccine
2016;23(3):188-193
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
PURPOSE: This study identified the characteristics differentiating node-first presentation of Kawasaki disease (NFKD) from bacterial cervical lymphadenitis (BCL) and typical Kawasaki disease (KD). METHODS: From July 2007 to June 2015, the medical records of patients with BCL, NFKD, and typical KD were retrospectively reviewed. We analyzed and compared the demographic, clinical, laboratory, and imaging characteristics of the cohorts. RESULTS: Twenty-two patients with BCL, 37 with NFKD, and 132 with typical KD were included in this study. Patients with BCL had longer durations of hospitalization than patients with NFKD. Bilateral and multiple enlarged cervical lymph nodes were associated more with NFKD than BCL. Compared with BCL patients, NFKD patients had lower platelet counts, higher percentages of neutrophils, and higher C-reactive protein (CRP) levels. NFKD patients were older and presented with higher white blood cell counts, percentages of neutrophils, absolute neutrophil counts, and CRP levels as well as lower platelet counts and alanine aminotransferase levels than typical KD patients. CONCLUSIONS: In febrile patients with cervical lymphadenopathy, the combination of bilateral and multiple enlarged nodes, low platelet count, high percentage of neutrophils, and high CRP levels should prompt consideration of NFKD for prevention of delayed diagnosis of KD.
