Incomplete Kawasaki Disease in a 5-Month-Old Girl Associated with Cerebrospinal Fluid Pleocytosis and Epidural Fluid Collection.
10.14776/piv.2015.22.1.40
- Author:
Jung Ok KIM
1
;
Hyeon Ju LEE
;
Kyoung Hee HAN
Author Information
1. Department of Pediatrics, Jeju National University Hospital, Jeju, Korea. hansyang78@gmail.com
- Publication Type:Case Report
- Keywords:
Kawasaki disease;
Infant;
Cerebrospinal fluid;
Pleocytosis;
Epidural abscess
- MeSH:
Aneurysm;
Cerebral Infarction;
Cerebrospinal Fluid*;
Child;
Communicable Diseases;
Coronary Vessels;
Corpus Callosum;
Dilatation;
Echocardiography;
Epidural Abscess;
Facial Nerve;
Female;
Follow-Up Studies;
Humans;
Infant*;
Leukocytosis*;
Magnetic Resonance Imaging;
Meningitis;
Meningitis, Aseptic;
Mucocutaneous Lymph Node Syndrome*;
Paralysis;
Subdural Effusion
- From:Pediatric Infection & Vaccine
2015;22(1):40-44
- CountryRepublic of Korea
- Language:English
-
Abstract:
Cases of incomplete Kawasaki disease (KD), wherein the patient does not fulfill the full diagnostic criteria for KD, are often detected in infants younger than 6 months of age. The clinical manifestations in infants with incomplete KD may resemble other infectious diseases, including meningitis. For this reason, clinicians may have difficulty differentiating incomplete KD from other infectious diseases in this population. Various neurological features are associated with KD, including aseptic meningitis, subdural effusion, facial nerve palsy, cerebral infarction, encephalopathy, and reversible corpus callosum splenial lesions on magnetic resonance imaging. We report a case of a 5-month-old girl with incomplete KD, associated with cerebrospinal fluid pleocytosis and an epidural fluid collection. Echocardiography indicated dilatation of the main coronary arteries. The girl made a complete recovery, with resolution of both the epidural fluid collection and coronary artery aneurysms. In this case, the child is well, and showed normal developmental milestones at the 7-month follow-up.
