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CASE REPORT
Korean J Pediatr 2008 September;51(9) :1023-1027.
doi:https://doi.org/10.3345/kjp.2008.51.9.1023
Kawasaki disease presenting as retropharyngeal abscess
Sung Yoon Cho (Cho SY), Hye Kyung Cho (Cho HK), Ky Young Cho (Cho KY), Hae Soon Kim (Kim HS), Sejung Sohn (Sohn SJ)
Department of Pediatrics, Ewha Womans University School of Medicine, Seoul, Korea
Corresponding Author: Sejung Sohn ,Email: sohn@ewha.ac.kr
Copyright © 2008 by The Korean Pediatric Society
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.
Keywords: Kawasaki disease | Retropharyngeal abscess
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