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Korean J Pediatr 2009 February;52(2) :251-255.
doi:https://doi.org/10.3345/kjp.2009.52.2.251
Atypical presentation of Kawasaki disease resembling a retropharyngeal abscess
Eu Jin Kim (Kim EJ), Young Su Lim (Lim YS), Ji Eun Yoon (Yoon JE), Heon-Seok Han (Han HS)
Department of Pediatrics, Chungbuk National University, College of Medicine, Cheongju, Korea
Corresponding Author: Heon-Seok Han ,Email: hshan@chungbuk.ac.kr
Copyright © 2009 by The Korean Pediatric Society
ABSTRACT
Kawasaki disease is an acute systemic inflammatory disorder, the etiology of which has not yet been established. The clinical manifestations are non-specific and are common to many pediatric infectious and immunologic diseases. In 2 cases presenting fever, cervical lymphadenopathy, and retropharyngeal abscess-like lesions on the neck shown in a computerized tomography (CT) scan, the diagnosis of Kawasaki disease was delayed. The patients were not responsive to antibiotic therapy, and fluid collection was not found during retropharyngeal aspiration. They showed typical Kawasaki manifestations over time and atrioventricular valve regurgitation in the echocardiogram. A diagnosis of Kawasaki disease should be considered in similar cases of fever and cervical lymphadenopathy. A CT scan that shows a retropharyngeal abscess-like lesion on the neck can be a false positive finding, and other laboratory exams, including echocardiography, should be performed as early as possible to avoid unnecessary medical and surgical procedures.
Keywords: Mucocutaneous lymph node syndrome | Retropharyngeal abscess
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A case of Kawasaki disease with coexistence of a parapharyngeal abscess requiring incision and drainage  2010 September;53(9)
Association between Kawasaki disease and acute respiratory viral infections  2009 November;52(11)
Atypical presentation of Kawasaki disease resembling a retropharyngeal abscess  2009 February;52(2)
Kawasaki disease presenting as retropharyngeal abscess  2008 September;51(9)
A case of Kawasaki disease preceding a retropharyngeal abscess  2008 May;51(5)
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