Acute Scrotum in an Infant with Kawasaki Disease.
10.14776/piv.2017.24.1.60
- Author:
Ha Young KANG
1
;
Eun Young JOO
;
Dong Hyun KIM
;
Young Jin HONG
Author Information
1. Department of Pediatrics, Inha University School of Medicine, Incheon, the Republic of Korea. hongyjin@inha.ac.kr
- Publication Type:Case Report
- Keywords:
Mucocutaneous lymph node syndrome;
Testicular hydrocele;
Urological manifestations
- MeSH:
Aspirin;
Child;
Coronary Disease;
Diagnosis;
Fever;
Follow-Up Studies;
Humans;
Immunoglobulins;
Infant*;
Male;
Mucocutaneous Lymph Node Syndrome*;
Scrotum*;
Systemic Vasculitis;
Testicular Hydrocele;
Transillumination;
Ultrasonography;
Urological Manifestations
- From:Pediatric Infection & Vaccine
2017;24(1):60-64
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Kawasaki disease (KD) is a systemic vasculitis that occurs predominantly in infants and young children. The etiology of KD is unknown and coronary heart disease is a major complication of KD. Acute scrotum is a rare complication of acute KD, and not as well recognized as other manifestations of the disease. We report a 2-month-old boy with acute scrotum in the acute phase of KD. He was treated with intravenous immunoglobulin (total 2 g/kg) and aspirin (50 mg/kg/day). The treatment was effective in resolving his fever and other clinical symptoms, but 2 days after starting treatment he experienced scrotal swelling. Scrotal ultrasound and transillumination were used in the diagnosis of acute scrotum. After 2 months, a follow-up testicular ultrasound revealed a remission of the acute scrotum. Subsequently, he has been followed up for KD.
