Kawasaki disease presenting as retropharyngeal abscess.
10.3345/kjp.2008.51.9.1023
- Author:
Sung Yoon CHO
1
;
Hye Kyung CHO
;
Ky Young CHO
;
Hae Soon KIM
;
Sejung SOHN
Author Information
1. Department of Pediatrics, Ewha Womans University School of Medicine, Seoul, Korea. sohn@ewha.ac.kr
- Publication Type:Case Report
- Keywords:
Kawasaki disease;
Retropharyngeal abscess
- MeSH:
Abscess;
Anti-Bacterial Agents;
Coronary Vessels;
Humans;
Immunoglobulins;
Lymphadenitis;
Mucocutaneous Lymph Node Syndrome;
Neck;
Retropharyngeal Abscess
- From:Korean Journal of Pediatrics
2008;51(9):1023-1027
- CountryRepublic of Korea
- Language:English
-
Abstract:
A group of patients with Kawasaki disease (KD) initially present with cervical lymphadenitis or deep neck infection. These unusual KD presentations lead to unnecessary antibiotic therapy or surgical intervention, thereby delaying intravenous immunoglobulin treatment and increasing the risk of coronary artery damage. We present four KD patients whose initial presentations mimicked a retropharyngeal abscess. Nonsuppurative cervical lymphadenitis or suspected neck abscess unresponsive to intravenous antibiotics could signal the possibility of KD.
