Unilateral Parotitis and Kawasaki Disease in a Child.
10.14776/kjpid.2014.21.3.214
- Author:
Soo Young LYU
;
Gil Ho BAN
;
Su Eun PARK
- Publication Type:Case Report
- Keywords:
Parotitis;
Kawasaki disease
- MeSH:
Anti-Bacterial Agents;
Child*;
Diagnosis;
Diagnosis, Differential;
Exanthema;
Female;
Fever;
Humans;
Immunoglobulins;
Mucocutaneous Lymph Node Syndrome*;
Parotitis*;
Salicylates
- From:Korean Journal of Pediatric Infectious Diseases
2014;21(3):214-218
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Kawasaki disease is generally diagnosed base on its clinical features. Sometimes unusual or atypical presentations make the diagnosis of Kawasaki disease difficult. We experienced an unusual case of Kawasaki disease presented with unilateral parotitis in a 23-month old girl. Despite of intravenous antibiotics treatment, fever and unilateral parotid swelling persisted. Skin rashes, conjunctival injections, and coronary abnormalities showed up on the 8th day of fever. After the intravenous immunoglobulin and salicylates treatment, all symptoms disappeared. Although unilateral parotitis is very unusual presentation of Kawasaki disease, in case of no response to antibiotics, Kawasaki disease should be included in the differential diagnosis.
