Pediatric Infection & Vaccine  2017;24(1):60-64

doi:10.14776/piv.2017.24.1.60

Acute Scrotum in an Infant with Kawasaki Disease.

Ha Young KANG 1 ; Eun Young JOO ; Dong Hyun KIM ; Young Jin HONG

Affiliations

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Keywords

Mucocutaneous lymph node syndrome; Testicular hydrocele; Urological manifestations

Country

Republic 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.