Korean Journal of Pediatrics  2008;51(9):1023-1027

doi:10.3345/kjp.2008.51.9.1023

Kawasaki disease presenting as retropharyngeal abscess.

Sung Yoon CHO 1 ; Hye Kyung CHO ; Ky Young CHO ; Hae Soon KIM ; Sejung SOHN

Affiliations

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Keywords

Kawasaki disease; Retropharyngeal abscess

Country

Republic 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.