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Korean J Pediatr 2010 September;53(9) :855-858.
A case of Kawasaki disease with coexistence of a parapharyngeal abscess requiring incision and drainage
Se Hyun Choi (Choi SH), Hyun Jung Kim (Kim HJ)
Department of Pediatrics, College of Medicine, Eulji University, Daejeon, Korea
Corresponding Author: Hyun Jung Kim ,Email:
Copyright © 2010 by The Korean Pediatric Society
Kawasaki disease (KD) causes multisystemic vasculitis but infrequently manifests with deep neck infections, such as a peritonsillar abscess, peritonsillar or deep neck cellulitis, suppurative parapharyngeal infection, or retropharyngeal abscess. As its etiology is still unknown, the diagnosis is usually made based on typical symptoms. The differential diagnosis between KD and deep neck infections is important, considering the variable head and neck manifestations of KD. There are several reports on KD patients who were initially diagnosed with retropharyngeal abscess on on computed tomography scans (CT). However, the previously reported cases did not have abscess or fluid collection on retropharyngeal aspiration. Therefore, false-positive neck CT scans have been obtained, until recently. In this case, suspected neck abscess in patients with KD unresponsive to intravenous immunoglobulin could signal the possible coexistence of suppurative cervical lymphadenitis.
Keywords: Mucocutaneous lymph node syndrome | Retropharyngeal abscess | Child
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Supplementary Material  Supplementary Material
Atypical presentation of Kawasaki disease resembling a retropharyngeal abscess  2009 February;52(2)
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)
A Case of Kawasaki Disease with Mycoplasma Pneumonia  2005 April;48(4)
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