A case of Kawasaki disease mimicking a retropharyngeal abscess

Kayoko Hattori, Shigeru Hirano, Ichiro Tateya, Toru Sogami, Juichi Ito

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1 Citation (Scopus)

Abstract

We report a case of Kawasaki disease mimicking a retropharyngeal abscess. A boy aged 7 years and 11 months was hospitalized after 4 days with a high fever and cervical lymphadenopathy. Contrast-enhanced head and neck computed tomography (CT) showed a low-density lesion in the posterior pharyngeal space. Having all 6 clinical criteria for Kawasaki disease on hospital day 2, the boy was treated with γ-globulin, ibuprofen, and antibiotics, which gradually alleviated all clinical signs. An abscess-like retropharyngeal lesion is considered a manifestation of Kawasaki disease. Cervical lymphadenopathy is the presenting symptom in only 12% of subjects with Kawasaki disease, and may significantly delay diagnosis. It is therefore important when examining a child with a retropharyngeal abscess to consider the possibility of Kawasaki disease.

Original languageEnglish
Pages (from-to)453-456
Number of pages4
JournalPractica Oto-Rhino-Laryngologica
Volume105
Issue number5
DOIs
Publication statusPublished - 08-10-2012
Externally publishedYes

All Science Journal Classification (ASJC) codes

  • Otorhinolaryngology

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