Published in:
01-04-2012 | Case Report
Atypical presentation of Kawasaki disease in young infants mimicking a retropharyngeal abscess
Authors:
Supika Kritsaneepaiboon, Pattama Tanaanantarak, Supaporn Roymanee, Edward Y. Lee
Published in:
Emergency Radiology
|
Issue 2/2012
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Excerpt
Kawasaki disease (KD), also known as acute febrile mucocutaneous lymph node syndrome, is self-limited vasculitis of an unknown etiology which typically affects small- and medium-sized arteries. Due to the non-specific symptoms and lacks of a specific laboratory test, the diagnosis is based on presence of fever at least 5 days concurrently with four of five clinical criteria: nonpurulent bulbar conjunctivitis, changes in mucosa of oropharynx, changes in peripheral extremities, polymorphous exanthema, and cervical lymphadenopathy >1.5 cm. However, only 40% of KD patients present with clinically fulfilled criteria [
1]. We reported two infants with KD who initially presented with an atypical retropharyngeal abscess-like lesion that lead to delayed diagnosis and potentially increased risk of cardiac complications and mortality. …